Organization · Type 2 NPI
Interface
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Excelsior Springs, MO
Practice location
235 E Broadway St
Excelsior Springs, MO 64024-2564
Mailing address
32302 W 231st St
Lawson, MO 64062-8159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Another provider at this address
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Excelsior Springs
About NPI 1053898080
Interface's National Provider Identifier is 1053898080, issued on Jul 23, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Excelsior Springs, MO. The record was last updated on Jul 23, 2018.