Whalio Doctors

NPI 1225237993

Individual Expressions, INC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Raytown, MO

Practice location

Address
3817 Woodson Drive, Raytown, MO 64138
Phone
(816) 509-5509
Fax
(816) 356-1207
Mailing address
507 SE 3rd St, Lees Summit, MO 64063-2810

Authorised official

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

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X

Registry record

NPI
1225237993
Entity type
Organization
NPI issued
13 Jul 2007
Record last updated
13 Jul 2007

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.