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Organization

ASHAY LLC

Active
Parent organization
43119646
Organization subpart
Yes

Provider details

NPI number
Legal business name
43119646
Authorized official
JONATHAN M MCCLINTON (CREATOR AND OWNER)
(816) 522-4433
Entity
Organization

Contact information

Practice address
7922 MAPLE AVE, RAYTOWN, MO 64138-1953
(816) 522-4433
Mailing address
7922 MAPLE AVE, RAYTOWN, MO 64138-1953
(816) 522-4433

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MO

Other

Enumeration date
01/28/2008
Last updated
01/28/2008
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