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Organization

CALLAWAY COUNTY SPECIAL SERVICES

Active
Parent organization
CALLAWAY COUNTY SPECIAL SERVICES
Other names
Adult Enrichment Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
CALLAWAY COUNTY SPECIAL SERVICES
Authorized official
MR. CHARLES SNOW (EXECUTIVE DIRECTOR)
(573) 642-1792
Entity
Organization

Contact information

Practice address
501 TRUMAN RD, FULTON, MO 65251-1266
(573) 592-0136
Mailing address
911 S BUSINESS 54, FULTON, MO 65251-1406
(573) 592-0136

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
251S00000X
Community/Behavioral Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
852944305
MO
Enumeration date
03/09/2007
Last updated
06/12/2008
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