Madison County Council for Developmentally Disabled, Inc.

NPI #1023292802 in Fredericktown, Missouri

Provider Information

NPI Number: 1023292802
Entity Type: Organization
Organization Name: Madison County Council for Developmentally Disabled, Inc.
Primary Specialty: Case Management
Enumeration Date: Dec 28, 2007
Last Updated: Dec 28, 2007

Practice Location

Address: 610 S CHAMBER DR
City: Fredericktown
State: Missouri
ZIP Code: 63645-1742
Phone: (573) 783-3770

Authorized Official

Name: MR. CLYDE AVERY CLIFTON
Title: EXECUTIVE DIRECTOR
Phone: (573) 783-3770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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