Organization
HURDLER OUTREACH SERVICES LLC
Active
Other names
HURDLER OUTREACH SERVICES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RAPHAEL MURPHY CRADC (SUBSTANCE ABUSE COUNSELOR)
(816) 838-9931
Entity
Organization
Contact information
Practice address
6425 EVANSTON AVE, RAYTOWN, MO 64133-4931
(816) 838-9931
Mailing address
6425 EVANSTON AVE, RAYTOWN, MO 64133-4931
(816) 838-9931
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11143
—
MO
Enumeration date
10/21/2020
Last updated
10/21/2020
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