Organization
FOUNDATION RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA M MILLER (DIRECTOR)
(816) 646-1798
Entity
Organization
Contact information
Practice address
2301 FREDERICK AVE STE 6, SAINT JOSEPH, MO 64506-2637
(816) 344-2328
Mailing address
2301 FREDERICK AVE STE 6, SAINT JOSEPH, MO 64506-2637
(816) 344-2328
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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