# ROSWELL ADDICTION TREATMENT

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

## Provider details

- **NPI number:** 1336479682
- **Authorized official:** DR. JAMES O. MAXWELL D.MIN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (913) 957-3596

## Contact information

- **Practice address:** 1401 N 18TH ST, KANSAS CITY, KS 66102-2845
- **Practice address phone:** (913) 387-4773
- **Practice address fax:** (913) 621-2297
- **Mailing address:** 1401 N 18TH ST, KANSAS CITY, KS 66102-2845
- **Mailing address phone:** (913) 387-4773
- **Mailing address fax:** (913) 621-2297

## Taxonomy

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

## Other

- **Enumeration date:** 01/09/2010
- **Last updated:** 01/09/2010