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Shedrika Atwood, MA
Emotionally Disturbed Childrens' Residential Treatment Facility in Kansas City, Missouri
NPI 1598094278

Shedrika Atwood is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Kansas City, MO. Shedrika Atwood practices in Kansas City, MO and has the professional credentials of MA. The NPI Number for Shedrika Atwood is 1598094278 and holds a License No. (Missouri).

The current practice location address for Shedrika Atwood is 12209 E 55Th St, Kansas City, MO and can be reached out via phone at 816-359-1581 and via fax at 816-255-3408.

Location: 12209 E 55Th St, Kansas City, MO, 64133-3106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598094278
Provider Name
Shedrika Atwood
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
12209 E 55Th St, Kansas City, MO, 64133-3106
Phone Number
816-359-1581
Fax Number
816-255-3408
Provider Enumeration Date
12/09/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12209 E 55Th St
City
Kansas City
State
Missouri
Zip
64133-3106
Phone Number
816-359-1581
Fax Number
816-255-3408
person
Provider Business Mailing Address Details
Address
12209 E 55Th St
City
Kansas City
State
Missouri
Zip
64133-3106
Phone Number
816-359-1581
Fax Number
816-255-3408
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
6207-11776 (Missouri)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
(Missouri)
Definition
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.
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