NPI 1033231303

Individual Expressions INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Lees Summit, MO

Practice location

Address: 507 SE 3rd St, Lees Summit, MO 64063-2810
Phone: (816) 524-4745
Fax: (816) 524-4751
Mailing address: 8317 Woodson Dr, Raytown, MO 64138-3550

Authorised official

Name: Mark R Fortin
Title: President
Phone: (816) 509-5509

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1033231303
Entity type: Organization
NPI issued: 5 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.