Individual
DARIN ROARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2628 SE KIMBROUGH LN, LEES SUMMIT, MO 64063-1082
(816) 582-3508
Mailing address
2628 SE KIMBROUGH LN, LEES SUMMIT, MO 64063-1082
(816) 582-3508
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
1437790219
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
03/24/2025
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