CLARK SUPPORTED LIVING

COLUMBIA, MO
NPI1326514381
Other NameCSL MISSOURI
Entity TypeOrganization
Authorized ContactZONDRA D CLARK
Executive Director
773-332-6106
Organization Subpart ?No
Primary Taxonomy320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Additional Taxonomies163WC1500X Registered Nurse, Community Health
174200000X 
251B00000X Case Management
251J00000X Nursing Care
251S00000X 
251X00000X 
253Z00000X In Home Supportive Care
261QA0600X Clinic/Center, Adult Day Care
261QD1600X Clinic/Center, Developmental Disabilities
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
385H00000X Respite Care
385HR2055X Respite Care, Respite Care, Mental Illness, Child
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child
385HR2065X Respite Care, Respite Care, Physical Disabilities, Child
Enumeration Date2018-10-17
Last Update Date2018-10-17
Business Address
CLARK SUPPORTED LIVING
303 MACAW DR
COLUMBIA, MO 65202
Phone number: 773-332-6106
Mailing Address
CLARK SUPPORTED LIVING
303 MACAW DR
COLUMBIA, MO 65202-6284
Phone number: 773-332-6106