NPI 1215252689

Joshua David Boydston, MSWPLCSW

Practitioner Emotionally Disturbed Childrens' Residential Treatment Facility Kansas City, MO

Practice location

Address: 8150 Wornall Rd, Kansas City, MO 64114-5806
Phone: (816) 508-3517
Mailing address: 4400 W 51st St, Roeland Park, KS 66205-1305

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 2010009375 (MO)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Missouri →

Registry record

NPI: 1215252689
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2010
Record last updated: 29 Mar 2010

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.