Organization
STODDARD COUNTY ARC ISL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA CHESSER (PRESIDENT)
(573) 624-5763
Entity
Organization
Contact information
Practice address
1318 W GRANT ST, DEXTER, MO 63841-1861
(573) 624-5763
Mailing address
PO BOX 444, DEXTER, MO 63841-0444
(573) 624-5763
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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