NPI 1366035594
Betty Lou Wallace Recovery LLC
Practice location
- Address
- 13643 Holmes Rd, Kansas City, MO 64145-1482
- Phone
- (480) 388-1495
- Mailing address
- 13340 Holmes Rd, Kansas City, MO 64145-1437
Authorised official
- Name
- Geffen Liberman
- Title
- Executive Director
- Phone
- (480) 388-1495
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1366035594
- Entity type
- Organization
- NPI issued
- 18 Feb 2021
- Record last updated
- 18 Feb 2021
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.