Organization · Type 2 NPI

Betty Lou Wallace Recovery LLC

Substance Use Disorder Rehabilitation Clinic/Center · Kansas City, MO

NPI number 1104417419 Active

Practice location

13645 Holmes Rd
Kansas City, MO 64145-1482

Call (480) 388-1495 Map

Mailing address

13340 Holmes Rd
Kansas City, MO 64145-1437

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

Other substance use disorder rehabilitation clinic/center providers in Kansas City

See all in Kansas City →

About NPI 1104417419

Betty Lou Wallace Recovery LLC's National Provider Identifier is 1104417419, issued on Jan 29, 2021. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Kansas City, MO. The record was last updated on Jan 29, 2021.