| Behavioral Health - Youth Tcm | |
|
2211 Charlotte St Kansas City MO 64108-2733 | |
| (816) 404-3604 | |
| Not Available |
| Full Name | Behavioral Health - Youth Tcm |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2211 Charlotte St, Kansas City, Missouri |
| Authorized Official Name and Position | Barbara Zubeck (DIRECTOR, INTERNAL AUDIT) |
| Authorized Official Contact | 8164043485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health - Youth Tcm 2301 Holmes St Kansas City MO 64108-2640 Ph: () - | Behavioral Health - Youth Tcm 2211 Charlotte St Kansas City MO 64108-2733 Ph: (816) 404-3604 |
| NPI Number | 1891968277 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 07/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891968277 | NPI | - | NPPES |
| 156772915 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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