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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