| NPI | 1770607970 |
|---|---|
| Other Name | MONTGOMERY COUNTY SENATE BILL 40 BOARD |
| Entity Type | Organization |
| Authorized Contact | DANIEL W. COLE Executive Director 573-564-5045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: MO 6630791) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 6743668) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 6743668) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: MO 6743668) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |