NPI 1295922458

Dst INC

Organisation Mental Illness Community Based Residential Treatment Facility Excelsior Springs, MO

Practice location

Address: 410 Superior, Excelsior Springs, MO 64024
Phone: (816) 630-3177
Fax: (816) 630-6100
Mailing address: PO Box 126 410 Superior, Excelsior Springs, MO 64024

Authorised official

Name: Thomas a Walker
Title: President Dst INC & Administrator
Phone: (816) 630-3177

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 035519 (MO)

Other Community Based Residential Treatment Facility, Mental Illness providers in Missouri →

Assisted Living Facility (Mental Illness)

Nursing & Custodial Care Facilities Taxonomy 3104A0625X Licence 033231 (MO)

Other Assisted Living Facility providers in Missouri →

Registry record

NPI: 1295922458
Entity type: Organization
NPI issued: 1 Oct 2007
Record last updated: 30 Jun 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.