Organization
NOVA CENTRER INC.
Active
Parent organization
NOVA CENTRER INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOVA CENTRER INC.
Authorized official
MR. CARY LOGAN WILLIAMS B.A (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
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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