Provider First Line Business Practice Location Address:
THOMPSON CENTER FOR AUTISM &
Provider Second Line Business Practice Location Address:
205 PORTLAND STREET
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65211-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-884-4660
Provider Business Practice Location Address Fax Number:
573-884-3195
Provider Enumeration Date:
04/03/2013