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723 E. 18th Street Kansas City MO 64108 | |
| (816) 283-3877 | |
| (816) 283-3310 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 723 E. 18th Street, Kansas City, Missouri |
| Authorized Official Name and Position | Jay Higham (CEO) |
| Authorized Official Contact | 2143656112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5001 Spring Valley Road Suite 600 East Dallas TX 75244 Ph: (214) 365-6100 | 723 E. 18th Street Kansas City MO 64108 Ph: (816) 283-3877 |
| NPI Number | 1902067259 |
|---|---|
| Provider Enumeration Date | 06/19/2008 |
| Last Update Date | 12/26/2024 |
| Certification Date | 12/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902067259 | NPI | - | NPPES |
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