| Nebo Hill Sanctuary Llc | |
|
7 E Kansas St Ste C Liberty MO 64068-2312 | |
| (816) 200-7087 | |
| Not Available |
| Full Name | Nebo Hill Sanctuary Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7 E Kansas St Ste C, Liberty, Missouri |
| Authorized Official Name and Position | Lisa Marie Soleymani-alizadeh (OWNER) |
| Authorized Official Contact | 8162007087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nebo Hill Sanctuary Llc 18405 Kristi Rd E Liberty MO 64068-8567 Ph: (816) 200-7087 | Nebo Hill Sanctuary Llc 7 E Kansas St Ste C Liberty MO 64068-2312 Ph: (816) 200-7087 |
| NPI Number | 1821789850 |
|---|---|
| Provider Enumeration Date | 05/19/2023 |
| Last Update Date | 08/31/2023 |
| Certification Date | 08/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821789850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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