Individual provider · Type 1 NPI
Shedrika Atwood, MA
Emotionally Disturbed Childrens' Residential Treatment Facility · Kansas City, MO
Practice location
12209 E 55th St
Kansas City, MO 64133-3106
Fax (816) 255-3408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 6207-11776 (MO) |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Other emotionally disturbed childrens' residential treatment facility providers in Kansas City
About NPI 1598094278
Shedrika Atwood, MA's National Provider Identifier is 1598094278, issued on Dec 9, 2009. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Kansas City, MO. The record was last updated on Dec 9, 2009.