Organization
IDD ARK, INC.
Active
Other names
Work With Purpose
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANI GARDNER-EVANS (EXECUTIVE DIRECTOR)
(573) 975-3602
Entity
Organization
Contact information
Practice address
1805 W WORLEY ST, COLUMBIA, MO 65203-1037
(573) 207-2070
(573) 375-8467
Mailing address
PO BOX 597, WENTZVILLE, MO 63385-0597
(573) 975-3602
(573) 375-8467
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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