OrganizationActive
Specialty Products & Services, Inc.
NPI 1386924637 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Dudley, MO
Provider details
- NPI number
- 1386924637
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Chastity Courter, Administrative Assistant(573) 624-9925
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8532 County Road 436
Dudley, MO 63936-8093
Phone: (573) 624-9925
Fax: (573) 624-9928
Street-level locationGet directions
Mailing address
402 S Walnut St
Dexter, MO 63841-2146
Other names (DBA / former)
- Doing business as
- The Grove Activity Center
Registry dates
- Enumerated
- 2011-08-18
- Last updated
- 2011-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.