Organization
COMMUNITY RECREATION & RESOCIALIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA C. GOODDING (EXECUTIVE DIRECTOR)
(816) 233-0430
Entity
Organization
Contact information
Practice address
525 S 10TH ST, SAINT JOSEPH, MO 64501-2725
(816) 233-0430
(816) 233-3795
Mailing address
525 S 10TH ST, SAINT JOSEPH, MO 64501-2725
(816) 233-0430
(816) 233-3795
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1739569
MO
Other
Enumeration date
02/01/2007
Last updated
08/22/2020
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