# SEED CENTER ROSWELL REHABILITATION ADDICTION PROGRAM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194043968
- **Authorized official:** MR. ALAN D PORTER MSW (CLINICAL DIRECTOR)
- **Authorized official phone:** (573) 823-0283

## Contact information

- **Practice address:** 1659 WASHINGTON BLVD, KANSAS CITY, KS 66102-2841
- **Practice address phone:** (913) 233-2223
- **Mailing address:** 1659 WASHINGTON BLVD, KANSAS CITY, KS 66102-2841
- **Mailing address phone:** (913) 233-2223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0800X | Recovery Care Clinic/Center | 07070894 | KS | Yes |

## Other

- **Enumeration date:** 05/04/2010
- **Last updated:** 05/04/2010