Organization
KANSAS CITY BEHAVIORAL HEALTH HOLDCO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY DUCKWORTH-HAM (MEMBER)
(816) 877-2005
Entity
Organization
Contact information
Practice address
10330 HICKMAN MILLS DR, KANSAS CITY, MO 64137-1618
(816) 877-2005
Mailing address
411 NICHOLS RD, SUITE 217, KANSAS CITY, MO 64112-2000
(816) 877-2005
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MO
Other
Enumeration date
04/22/2016
Last updated
09/26/2016
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