| Ccbhc | |
|
300 W 19th Ter Kansas City MO 64108-2026 | |
| (816) 404-5700 | |
| Not Available |
| Full Name | Ccbhc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 300 W 19th Ter, Kansas City, Missouri |
| Authorized Official Name and Position | Barbara Lynn Zubeck (DIRECTOR, COMPLIANCE&AUDIT) |
| Authorized Official Contact | 8164043485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccbhc 2301 Holmes St Kansas City MO 64108-2640 Ph: (816) 404-1000 | Ccbhc 300 W 19th Ter Kansas City MO 64108-2026 Ph: (816) 404-5700 |
| NPI Number | 1053855270 |
|---|---|
| Provider Enumeration Date | 12/07/2016 |
| Last Update Date | 05/27/2021 |
| Certification Date | 05/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053855270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 285 (Missouri) | Primary |
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