# THE BAOBAB TREE LLC

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

## Provider details

- **NPI number:** 1548842354
- **Authorized official:** KIMBERLY LARTEY CPM (DIRECTOR)
- **Authorized official phone:** (816) 791-7239

## Contact information

- **Practice address:** 4707 NEBRASKA AVE, KANSAS CITY, KS 66102-1735
- **Practice address phone:** (816) 791-7239
- **Practice address fax:** (816) 791-7165
- **Mailing address:** 5824 E 40TH TER, KANSAS CITY, MO 64129-1714
- **Mailing address phone:** (816) 895-2742
- **Mailing address fax:** (816) 791-7165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/22/2021
- **Last updated:** 04/22/2021