Developmental Services of Missouri, INC

NPI #1205015096 in Lincoln, Nebraska

Provider Information

NPI Number: 1205015096
Entity Type: Organization
Organization Name: Developmental Services of Missouri, INC
Subpart: Yes (part of a larger organization)
Parent Organization: COLLABORATIVE INDUSTRIES, INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 29, 2007
Last Updated: Oct 29, 2007

Practice Location

Address: 578 BLUE SAGE BLVD
City: Lincoln
State: Nebraska
ZIP Code: 68521-6628
Phone: (402) 202-5890

Authorized Official

Name: MR. BRIAN A KANTER
Title: CHIEF OPERATING OFFICER
Phone: (402) 202-5890

Specialties & Taxonomy Codes

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

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