NPI 1033383641

Community Access

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

Practice location

Address: 1402 S Lees Summit Rd, Independence, MO 64050-4117
Phone: (816) 257-7222
Fax: (816) 257-7188
Mailing address: 1814 N Whitney Rd, Independence, MO 64058-1574

Authorised official

Name: Kelly Lynne Taula
Title: Office Manager
Phone: (816) 257-7222

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence 8000787 (MO)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Missouri →

Registry record

NPI: 1033383641
Entity type: Organization
NPI issued: 15 Apr 2008
Record last updated: 15 Apr 2008

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.