Organization
SEED CENTER ROSWELL REHABILITATION ADDICTION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN D PORTER MSW (CLINICAL DIRECTOR)
(573) 823-0283
Entity
Organization
Contact information
Practice address
1659 WASHINGTON BLVD, KANSAS CITY, KS 66102-2841
(913) 233-2223
Mailing address
1659 WASHINGTON BLVD, KANSAS CITY, KS 66102-2841
(913) 233-2223
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
07070894
KS
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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