# COMMUNITY SUPPORT PARTNERS

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

## Provider details

- **NPI number:** 1942348164
- **Authorized official:** CORY ROYER (OWNER)
- **Authorized official phone:** (816) 777-1301

## Contact information

- **Practice address:** 505 N BYNUM RD, LONE JACK, MO 64070-9589
- **Practice address phone:** (816) 777-1301
- **Practice address fax:** (816) 777-1305
- **Mailing address:** 10330 HICKMAN MILLS DR, BLDG 2, KANSAS CITY, MO 64137-1618
- **Mailing address phone:** (816) 777-1301
- **Mailing address fax:** (816) 777-1305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 6450-9633 | MO | Yes |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 06/09/2009
