Provider Demographics
NPI:1437204492
Name:ALTERNATIVE COMMUNITY TRAINING, INC.
Entity Type:Organization
Organization Name:ALTERNATIVE COMMUNITY TRAINING, INC.
Other - Org Name:ACT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSEMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-474-9446
Mailing Address - Street 1:2200 BURLINGTON ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-1987
Mailing Address - Country:US
Mailing Address - Phone:573-474-9446
Mailing Address - Fax:573-474-7458
Practice Address - Street 1:2200 BURLINGTON ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202-1987
Practice Address - Country:US
Practice Address - Phone:573-474-9446
Practice Address - Fax:573-474-7458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO85252521202251C00000X
MO251S00000X, 320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered251S00000XAgenciesCommunity/Behavioral Health
Not Answered320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities