Camden County Senate Bill 40 Board

NPI #1548307713 in Camdenton, Missouri

Provider Information

NPI Number: 1548307713
Entity Type: Organization
Organization Name: Camden County Senate Bill 40 Board
Primary Specialty: Case Management
Enumeration Date: Jan 30, 2007
Last Updated: Oct 5, 2011

Practice Location

Address: 100 3RD STREET
City: Camdenton
State: Missouri
ZIP Code: 65020
Phone: (573) 317-9233

Authorized Official

Name: BOONE CALEB WAGNER
Title: EXECUTIVE DIRECTOR
Phone: (573) 317-9233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X
Case Management	251B00000X	Primary

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