| |
1579 Ne Rice Rd Lee's Summit MO 64064 | |
(816) 246-8000 | |
(816) 524-2235 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1579 Ne Rice Rd, Lee's Summit, Missouri |
Authorized Official Name and Position | Stewart Alan Chase (SENIOR VICE PRESIDENT) |
Authorized Official Contact | 8163473243 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1555 Ne Rice Rd Lees Summit MO 64086-5849 Ph: (816) 246-8000 | 1579 Ne Rice Rd Lee's Summit MO 64064 Ph: (816) 246-8000 |
NPI Number | 1932248580 |
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Provider Enumeration Date | 02/06/2007 |
Last Update Date | 02/12/2021 |
Certification Date | 01/26/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932248580 | NPI | - | NPPES |
866202302 | Medicaid | MO |