Organization
HOMEBASE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BUNNY HIGGINS (DIR.)
(913) 649-5700
Entity
Organization
Contact information
Practice address
7096 W. 105TH ST., OVERLAND PARK, KS 66212
(913) 649-5700
Mailing address
12901 DELMAR, LEAWOOD, KS 66209
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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