NPI 1821271958
T C J Enterprise
Practice location
- Address
- 10540 Marty 200-C, Overland Park, KS 66212
- Phone
- (816) 838-4095
- Fax
- (816) 942-3909
Authorised official
- Name
- Joe Ella Rivers
- Title
- Director of Residential Services
- Phone
- (816) 838-4095
Registered specialties (3)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Case Management Agency
Developmentally Disabled Services Day Training Agency
Registry record
- NPI
- 1821271958
- Entity type
- Organization
- NPI issued
- 12 Dec 2007
- Record last updated
- 12 Dec 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.