Organization
DENOVO RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIGAIL BARNES (OWNER)
(210) 789-6121
Entity
Organization
Contact information
Practice address
2102 VILLAGE DR, SAINT JOSEPH, MO 64506-4983
(816) 244-8587
Mailing address
2102 VILLAGE DR, SAINT JOSEPH, MO 64506-4983
(816) 689-0691
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
04/22/2021
Last updated
08/04/2021
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