| Community Services Of Missouri Inc. | |
|
1175 Cave Springs Estate Dr Saint Peters MO 63376-6529 | |
| (636) 441-9002 | |
| (636) 441-4834 |
| Full Name | Community Services Of Missouri Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1175 Cave Springs Estate Dr, Saint Peters, Missouri |
| Authorized Official Name and Position | Kenneth Lee Allen (SATOP ADMINISTRATOR) |
| Authorized Official Contact | 6364419002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Services Of Missouri Inc. 1175 Cave Springs Estate Dr Saint Peters MO 63376-6529 Ph: (636) 441-9002 | Community Services Of Missouri Inc. 1175 Cave Springs Estate Dr Saint Peters MO 63376-6529 Ph: (636) 441-9002 |
| NPI Number | 1447425301 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447425301 | NPI | - | NPPES |
| 249 | Other | MO | FACILITY CODE |
| 346 | Other | MO | REACT |
| 6889841 | Other | MO | MISSOURI DMH VENDOR |
| 174 | Other | MO | SATOP |
| MO102035 | Other | MO | ADA FEDERAL ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Missouri) | Primary |
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