Organization · Type 2 NPI

Betty Lou Wallace Recovery LLC

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

NPI number 1225496052 Active

Practice location

13340 Holmes Rd
Kansas City, MO 64145-1437

Fax (816) 599-7510

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed

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

4 other providers at this address

Heartland Toxicology, LLCClinical Medical Laboratory Kansas City, MO NPI 1821580374
Elizabeth Trader, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Kansas City, MO NPI 1447018056
Shalaya Litonya McNeal, NPAdult Health Nurse Practitioner Kansas City, MO NPI 1477890986
Suzanne Taylor, LCSW, CRAADCClinical Social Worker Kansas City, MO NPI 1366015992

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NPI record

NPI: 1225496052
Entity type: Organization (Type 2)
Issued: Feb 8, 2016
Last updated: Dec 11, 2023
Status: Active

Other names

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Midwest Recovery Centers · doing business as
Midwest Recovery Centers · doing business as

Authorized official

Geffen Liberman
VP of Operations
(816) 599-7382

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1225496052

Betty Lou Wallace Recovery LLC's National Provider Identifier is 1225496052, issued on Feb 8, 2016. 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 Dec 11, 2023.