| Affiliated Court Services | |
|
800 N Providence Rd Suite 104 Columbia MO 65203-4300 | |
| (573) 499-3784 | |
| (573) 499-3771 |
| Full Name | Affiliated Court Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 800 N Providence Rd, Columbia, Missouri |
| Authorized Official Name and Position | Shelley S. Riecke (DIRECTOR/SATOP ADMINISTRATOR) |
| Authorized Official Contact | 5734993784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affiliated Court Services 800 N Providence Rd Suite 104 Columbia MO 65203-4300 Ph: (573) 499-3784 | Affiliated Court Services 800 N Providence Rd Suite 104 Columbia MO 65203-4300 Ph: (573) 499-3784 |
| NPI Number | 1104079896 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104079896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 092 (Missouri) | Primary |
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