Behavioral Health - Adult Cpr | |
300 W 19th Ter Kansas City MO 64108-2026 | |
(816) 404-5700 | |
Not Available |
Full Name | Behavioral Health - Adult Cpr |
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Speciality | Clinic/center - Adult Mental Health |
Location | 300 W 19th Ter, Kansas City, Missouri |
Authorized Official Name and Position | Barbara Lynn Zubeck (COMPLIANCE OFFICER) |
Authorized Official Contact | 8164043485 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Behavioral Health - Adult Cpr 2301 Holmes St Kansas City MO 64108-2640 Ph: () - | Behavioral Health - Adult Cpr 300 W 19th Ter Kansas City MO 64108-2026 Ph: (816) 404-5700 |
NPI Number | 1205009271 |
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Provider Enumeration Date | 04/10/2008 |
Last Update Date | 06/14/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205009271 | NPI | - | NPPES |
876174400 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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