Individual provider · Type 1 NPI

Cassandra M. Clark-Wheeler

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

NPI number 1811370406 Active

Practice location

15010 E 51st St
Kansas City, MO 64136-1142

Call (816) 478-9031 Map

Fax (816) 350-3406

Mailing address

4230 S Phelps Rd
Independence, MO 64055-5067

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

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 1811370406

Cassandra M. Clark-Wheeler's National Provider Identifier is 1811370406, issued on Jul 1, 2015. 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 Jul 1, 2015.