NPI 1063535649
Community Support Partners
Practice location
- Address
- 8959 E. 59th Street, Raytown, MO 64133-3709
- Phone
- (816) 777-1301
- Fax
- (816) 777-1305
- Mailing address
- 10330 Hickman Mills Dr Bldg 2, Kansas City, MO 64137
Authorised official
- Name
- Cory Royer
- Title
- Owner
- Phone
- (816) 777-1301
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1063535649
- Entity type
- Organization
- NPI issued
- 9 Apr 2007
- Record last updated
- 22 Jun 2009
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.