Organization · Type 2 NPI

Dickerson Isl

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Kansas City, MO

NPI number 1255505939 Active

Practice location

9401 E 90th Ter
Kansas City, MO 64138-4770

Call (816) 353-8850 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X9227 (MO)

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.

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About NPI 1255505939

Dickerson Isl's National Provider Identifier is 1255505939, issued on Apr 14, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Kansas City, MO. The record was last updated on Apr 14, 2008.