Individual provider · Type 1 NPI

Lashonda Fowler

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

NPI number 1942034723 Active

Practice location

7546 Troost Ave
Kansas City, MO 64131-2078

Call (816) 882-0083 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Day Care Clinic/Center 261QA0600XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed
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 1942034723

Lashonda Fowler's National Provider Identifier is 1942034723, issued on Aug 26, 2024. 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 Aug 26, 2024.