OrganizationActive
Callaway County Special Services
NPI 1992932354 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fulton, MO
Provider details
- NPI number
- 1992932354
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Charles Snow, Executive Director
- License
- N00859770 (MO)
Practice location
911 S Business 54
Fulton, MO 65251-1406
Phone: (573) 642-1792
Fax: (573) 642-2415
Mailing address
911 S Business 54
Fulton, MO 65251-1406
Registry dates
- Enumerated
- 2009-06-12
- Last updated
- 2009-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.