Clark Supported Living

NPI #1326514381 in Columbia, Missouri

Provider Information

NPI Number
1326514381
Entity Type
Organization
Organization Name
Clark Supported Living
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Oct 17, 2018
Last Updated
Oct 17, 2018

Practice Location

Address
303 MACAW DR
ZIP Code
65202
Phone
(773) 332-6106

Authorized Official

Name
ZONDRA D CLARK, RN
Title
EXECUTIVE DIRECTOR
Phone
(773) 332-6106

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Community HealthCommunity Health
Meals
Case Management
Nursing Care
Community/Behavioral Health
Supports Brokerage
In Home Supportive Care
Clinic/Center - Adult Day CareAdult Day Care
Clinic/Center - Developmental DisabilitiesDevelopmental Disabilities
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Respite Care
Respite Care - Respite Care, Mental Illness, ChildRespite Care, Mental Illness, Child
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, ChildRespite Care, Intellectual and/or Developmental Disabilities, Child
Respite Care - Respite Care, Physical Disabilities, ChildRespite Care, Physical Disabilities, Child
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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