Organization
EATING DISORDER TREATMENT ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM MCCALLUM (PRESIDENT)
(314) 968-1900
Entity
Organization
Contact information
Practice address
12140 NALL AVE, SUITE 315, OVERLAND PARK, KS 66209-2503
(314) 968-1900
Mailing address
6100 TOWER CIR, SUITE 1000, FRANKLIN, TN 37067-1451
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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