Organization
CEDAR CREEK THERAPEUTIC RIDING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN ANNE GRINDLER (EXECUTIVE DIRECTOR)
(573) 875-8556
Entity
Organization
Contact information
Practice address
4895 E HIGHWAY 163, COLUMBIA, MO 65201-9284
(573) 875-8556
Mailing address
4895 E HIGHWAY 163, COLUMBIA, MO 65201-9284
(573) 875-8556
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
OC1064
MO
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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