| Blue Valley Industries | |
|
1608 Prospect Avenue Kansas City MO 64127-2569 | |
| (816) 483-1620 | |
| (816) 326-0151 |
| Full Name | Blue Valley Industries |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1608 Prospect Avenue, Kansas City, Missouri |
| Authorized Official Name and Position | Brian Hogan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8164831620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Valley Industries 1608 Prospect Avenue Kansas City MO 64127-2569 Ph: (816) 483-1620 | Blue Valley Industries 1608 Prospect Avenue Kansas City MO 64127-2569 Ph: (816) 483-1620 |
| NPI Number | 1285339309 |
|---|---|
| Provider Enumeration Date | 03/31/2023 |
| Last Update Date | 03/31/2023 |
| Certification Date | 03/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285339309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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