Organization
CEREBRAL PALSY OF TRI-COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTY GROVES GRAHAM ED.D. (EXECUTIVE DIRECTOR)
(417) 673-4940
Entity
Organization
Contact information
Practice address
1401 W AUSTIN ST, WEBB CITY, MO 64870-1617
(417) 673-4940
(417) 673-8550
Mailing address
1401 W AUSTIN ST, WEBB CITY, MO 64870-1617
(417) 673-4940
(417) 673-8550
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
001189440
MO
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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