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Organization

DISMAS HOUSE OF KANSAS CITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LADELL M FLOWERS M ED RSAP QP REV (EXECUTIVE DIRECTOR)
(816) 531-6050
Entity
Organization

Contact information

Practice address
207 W LINWOOD BLVD, KANSAS CITY, MO 64111-1327
(816) 531-6050
Mailing address
207 W LINWOOD BLVD, KANSAS CITY, MO 64111-1327
(816) 531-6050

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
616910679
MO

Other

Enumeration date
07/09/2008
Last updated
07/09/2008
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