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Organization
NORTHWEST REGIONAL YOUTH CENTER
Active
Organization
NORTHWEST REGIONAL YOUTH CENTER
Active
Parent organization
STATE OF MISSOURI
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF MISSOURI
Authorized official
MS. SONDRA GAYNELLE HAWK LPN (LPN II)
(816) 437-3656
Entity
Organization
Contact information
Practice address
4901 NE BARRY RD, KANSAS CITY, MO 64156-1219
(816) 437-3656
(816) 437-3660
Mailing address
4901 NE BARRY RD, KANSAS CITY, MO 64156-1219
(816) 437-3656
(816) 437-3660
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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