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Organization
REDISCOVER
Active
Organization
REDISCOVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEWART A CHASE (SENIOR VICE PRESIDENT)
(816) 347-3243
Entity
Organization
Contact information
Practice address
8800 BLUE RIDGE BLVD, KANSAS CITY, MO 64138
(816) 384-0700
(816) 612-8756
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-6034
(816) 966-0900
(816) 347-3200
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2228
DEPT. OF MENTAL HEALTH
MO
01
—
2396
DEPT. OF MENTAL HEALTH
MO
Enumeration date
09/10/2015
Last updated
07/21/2022
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