Whalio Doctors

NPI 1407037179

Jolet II, Incorporated

Organisation Mental Illness Community Based Residential Treatment Facility Kansas City, MO

Practice location

Address
3920 Forest Ave, Kansas City, MO 64110-1220
Phone
(816) 861-5189
Fax
(816) 921-4259

Authorised official

Name
Ronald K Thompson
Title
Administrator
Phone
(816) 861-5189

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence 033218 (MO)

Registry record

NPI
1407037179
Entity type
Organization
NPI issued
21 Nov 2007
Record last updated
21 Nov 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.