Organization
MBSS COUNSELING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAHI BOSEDA CRADC (COUNSELOR)
(816) 679-2160
Entity
Organization
Contact information
Practice address
5706 TROOST AVE, KANSAS CITY, MO 64110-2826
(816) 866-1192
Mailing address
5510 NE ANTIOCH RD, 265, KANSAS CITY, MO 64119-2301
(816) 866-1192
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
NO.6748
MO
Other
Enumeration date
03/09/2015
Last updated
04/10/2015
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