Provider Demographics
NPI:1720800790
Name:MISSOURI ALLIANCE FOR CHILDREN AND FAMILIES, LLC
Entity type:Organization
Organization Name:MISSOURI ALLIANCE FOR CHILDREN AND FAMILIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:S
Authorized Official - Last Name:KLIETHERMES
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:573-556-8090
Mailing Address - Street 1:211 MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65101-3226
Mailing Address - Country:US
Mailing Address - Phone:573-556-8090
Mailing Address - Fax:
Practice Address - Street 1:211 MARSHALL ST
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65101-3226
Practice Address - Country:US
Practice Address - Phone:573-556-8090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No251B00000XAgenciesCase Management