Organization
THE TAILOR INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARISSA ANNE TRACY BA (EXECUTIVE DIRECTOR)
(573) 339-9552
Entity
Organization
Contact information
Practice address
3095 LEXINGTON AVE STE 500, CAPE GIRARDEAU, MO 63701-2674
(573) 339-9552
(573) 837-1716
Mailing address
3095 LEXINGTON AVE STE 500, CAPE GIRARDEAU, MO 63701-2674
(573) 339-9552
(573) 837-1716
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/08/2009
Last updated
12/04/2018
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