Organization · Type 2 NPI

Clark Supported Living

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Columbia, MO

NPI number 1326514381 Active

Practice location

303 Macaw Dr
Columbia, MO 65202

Call (773) 332-6106 Map

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse 163WC1500XNone listed
Meals Provider 174200000XNone listed
Case Management Agency 251B00000XNone listed
Nursing Care Agency 251J00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Supports Brokerage Agency 251X00000XNone listed
In Home Supportive Care Agency 253Z00000XNone listed
Adult Day Care Clinic/Center 261QA0600XNone listed
Developmental Disabilities Clinic/Center 261QD1600XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000XNone listed
Respite Care 385H00000XNone listed
Child Mental Illness Respite Care 385HR2055XNone listed
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060XNone listed
Child Physical Disabilities Respite Care 385HR2065XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1326514381

Clark Supported Living's National Provider Identifier is 1326514381, issued on Oct 17, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Columbia, MO. The record was last updated on Oct 17, 2018.