Provider Demographics
NPI:1730333600
Name:MONITEAU COUNTY SENATE BILL 40 BOARD
Entity type:Organization
Organization Name:MONITEAU COUNTY SENATE BILL 40 BOARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CHAIR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CANTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-230-6426
Mailing Address - Street 1:1509 INDUSTRIAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:CALIFORNIA
Mailing Address - State:MO
Mailing Address - Zip Code:65018-1883
Mailing Address - Country:US
Mailing Address - Phone:573-796-6131
Mailing Address - Fax:
Practice Address - Street 1:1509 INDUSTRIAL PARK DR
Practice Address - Street 2:
Practice Address - City:CALIFORNIA
Practice Address - State:MO
Practice Address - Zip Code:65018-1883
Practice Address - Country:US
Practice Address - Phone:573-796-6131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health