| Plaza Academy | |
|
601 Westport Rd Kansas City MO 64111-3127 | |
| (816) 561-0770 | |
| (816) 561-2530 |
| Full Name | Plaza Academy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 601 Westport Rd, Kansas City, Missouri |
| Authorized Official Name and Position | Gary Ogle Seabaugh (FOUNDER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8165610770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plaza Academy 601 Westport Rd P.o. Box 10361 Kansas City MO 64111-3127 Ph: (816) 561-0770 | Plaza Academy 601 Westport Rd Kansas City MO 64111-3127 Ph: (816) 561-0770 |
| NPI Number | 1376868059 |
|---|---|
| Provider Enumeration Date | 04/06/2010 |
| Last Update Date | 04/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376868059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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