Organization
REDISCOVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEWART CHASE (SENIOR VICE PRESIDENT)
(816) 347-3243
Entity
Organization
Contact information
Practice address
901 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64086-5544
(816) 966-0900
(816) 347-3200
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-6034
(816) 966-0900
(816) 347-3200
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1672
MO
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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