Easter Seals Midwest

NPI #1164554853 in Columbia, Missouri

Provider Information

NPI Number: 1164554853
Entity Type: Organization
Organization Name: Easter Seals Midwest
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 9, 2007
Last Updated: Feb 23, 2015

Practice Location

Address: 918 BERNADETTE DRIVE
City: Columbia
State: Missouri
ZIP Code: 65203
Phone: (314) 394-7100

Authorized Official

Name: MR. JOHN W. ADKINS
Title: VICE PRESIDENT, CFO
Phone: (314) 394-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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