institution
State Of Missouri
Substance Use Disorder Rehabilitation Clinic/Center in Kansas City, Missouri
NPI 1609954809

State Of Missouri is a Substance Use Disorder Rehabilitation Clinic/Center based in Jefferson City, MO and is specialized in Rehabilitation, Substance Use Disorder. State Of Missouri practices in Kansas City, MO. The NPI Number for State Of Missouri is 1609954809 and holds a License No. EXEMPT (Missouri).

The current practice location address for State Of Missouri is 1000 E 24Th St, Kansas City, MO and can be reached out via phone at 816-512-7143.

Location: 1000 E 24Th St, Kansas City, MO, 65102-0687
institution
Provider Profile Details
NPI Number
1609954809
Provider Name
State Of Missouri
Credential
Provider Entity Type
Organization
Address
1000 E 24Th St, Kansas City, MO, 65102-0687
Phone Number
816-512-7143
Fax Number
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
866205800 05 MO
institution
Provider Business Practice Location Address Details
Address
1000 E 24Th St
City
State
Zip
64108-2776
Phone Number
816-512-7143
Fax Number
person
Provider Business Mailing Address Details
Address
1000 E 24Th St
City
State
Zip
64108-2776
Phone Number
816-512-7143
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
EXEMPT (Missouri)
Definition
Definition to come...
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