Organization
COMMUNITY ACCESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RITA ANN OLIVER MSW (EXECUTIVE DIRECTOR)
(816) 257-7222
Entity
Organization
Contact information
Practice address
1814 N WHITNEY RD, INDEPENDENCE, MO 64058-1574
(816) 257-7222
(816) 257-7188
Mailing address
1814 N WHITNEY RD, INDEPENDENCE, MO 64058-1574
(816) 257-7222
(816) 257-7188
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
800378
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8000378
DMH VENDOR NUMBER
MO
Enumeration date
02/09/2007
Last updated
04/01/2008
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