Organization
COMMUNITY SUPPORT PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY ROYER (OWNER)
(816) 777-1301
Entity
Organization
Contact information
Practice address
11818 E 60TH TER, KANSAS CITY, MO 64133-4336
(816) 777-1301
Mailing address
10330 HICKMAN MILLS DR, BUILDING 2, KANSAS CITY, MO 64137-1618
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856252903
—
MO
05
—
856272703
—
MO
05
—
856285408
—
MO
Enumeration date
01/23/2009
Last updated
01/23/2009
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