STATE OF MISSOURI

JEFFERSON CITY, MO
NPI1184259913
Doing Business AsCSTAR
Entity TypeOrganization
Authorized ContactMOLLY JANE BOECKMANN
Director Of Administrative Services
573-751-4055
Organization Subpart ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-03-12
Last Update Date2020-10-20
Business Address
STATE OF MISSOURI
1706 E ELM ST
JEFFERSON CITY, MO 65101-4130
Phone number: 573-751-3398
Mailing Address
STATE OF MISSOURI
PO BOX 687 1706 E ELM ST
JEFFERSON CITY, MO 65102-0687
Phone number: 573-751-3398