NPI 1598094278

Shedrika Atwood, MA

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

Practice location

Address: 12209 E 55th St, Kansas City, MO 64133-3106
Phone: (816) 359-1581
Fax: (816) 255-3408

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 6207-11776 (MO)

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1598094278
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Dec 2009
Record last updated: 9 Dec 2009

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.