Organization · Type 2 NPI

State of Missouri

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

NPI number 1609954809 Active

Practice location

1000 E 24th St
Kansas City, MO 64108-2776

Mailing address

PO Box 687
Jefferson City, MO 65102-0687

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XEXEMPT (MO)

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About NPI 1609954809

State of Missouri's National Provider Identifier is 1609954809, issued on Nov 2, 2006. 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 Oct 27, 2020.