Organization
CLINTON COUNTY SENATE BILL 40 BOARD
Active
Organization
CLINTON COUNTY SENATE BILL 40 BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON NONE GRAYSON (PRESIDENT OF THE BOARD)
(816) 585-7411
Entity
Organization
Contact information
Practice address
406 ELM ST, LATHROP, MO 64465
(816) 528-3846
Mailing address
PO BOX 397, LATHROP, MO 64465-0397
(816) 528-3846
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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