Individual
MR. ERIC D CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8121 NW EASTSIDE DR, KANSAS CITY, MO 64152-1666
(816) 741-2884
Mailing address
8121 NW EASTSIDE DR, KANSAS CITY, MO 64152-1666
(816) 741-2884
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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