Provider Demographics
NPI:1346415817
Name:EASTERN MISSOURI ALTERNATIVE SENTENCING SERVICES INC
Entity Type:Organization
Organization Name:EASTERN MISSOURI ALTERNATIVE SENTENCING SERVICES INC
Other - Org Name:EMASS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-946-2815
Mailing Address - Street 1:545 1ST CAPITOL DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-2763
Mailing Address - Country:US
Mailing Address - Phone:636-946-2815
Mailing Address - Fax:646-946-1568
Practice Address - Street 1:545 1ST CAPITOL DR
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-2763
Practice Address - Country:US
Practice Address - Phone:636-946-2815
Practice Address - Fax:646-946-1568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251K00000XAgenciesPublic Health or Welfare