Organization
NOVA CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARY LOGAN WILLIAMS (CEO)
(816) 761-8614
Entity
Organization
Contact information
Practice address
12604 3RD ST, GRANDVIEW, MO 64030-1616
(816) 761-8614
(816) 765-0622
Mailing address
12604 3RD ST, GRANDVIEW, MO 64030-1616
(816) 761-8614
(816) 765-0622
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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