Organization · Type 2 NPI

Alice Sue Conrad

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

NPI number 1922128487 Active

Practice location

1407 Saint Andrew St
Columbia, MO 65203-2327

Fax (573) 442-2086

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	8001661 (MO)

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 1922128487

Alice Sue Conrad's National Provider Identifier is 1922128487, issued on Mar 29, 2007. 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 Jun 13, 2008.