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Clark Supported Living — NPI 1326514381, Columbia, MO | NPI Central

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NPI 1326514381

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Clark Supported Living

NPI 1326514381 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Columbia, MO

Provider details

NPI number: 1326514381
Entity type: Organization
Primary specialty: Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
Organization subpart: No
Authorized official: Zondra Clark, Executive Director(773) 332-6106

Specialties & taxonomies

Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000X
Residential Treatment Facilities
Community Health Registered Nurse163WC1500X
Nursing Service Providers
Meals Provider174200000X
Other Service Providers
Case Management Agency251B00000X
Agencies
Nursing Care Agency251J00000X
Agencies
Community/Behavioral Health Agency251S00000X
Agencies
Supports Brokerage Agency251X00000X
Agencies

Practice location

303 Macaw Dr

Columbia, MO 65202

Phone: (773) 332-6106

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

303 Macaw Dr

Columbia, MO 65202-6284

Other names (DBA / former)

Other name: Csl Missouri

Registry dates

Enumerated: 2018-10-17
Last updated: 2018-10-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

In Home Supportive Care Agency253Z00000X

Agencies

Adult Day Care Clinic/Center261QA0600X

Ambulatory Health Care Facilities

Developmental Disabilities Clinic/Center261QD1600X

Ambulatory Health Care Facilities

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X

Residential Treatment Facilities

Respite Care385H00000X

Respite Care Facility

Child Mental Illness Respite Care385HR2055X

Respite Care Facility

Child Intellectual and/or Developmental Disabilities Respite Care385HR2060X

Respite Care Facility

Child Physical Disabilities Respite Care385HR2065X

Respite Care Facility