Organization
MIDWEST ADP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD RENTFROW (DIRECTOR)
(816) 836-2220
Entity
Organization
Contact information
Practice address
3923 S LYNN CT, INDEPENDENCE, MO 64055-3337
(816) 836-2220
(816) 836-3567
Mailing address
3923 S LYNN CT, INDEPENDENCE, MO 64055-3337
(816) 836-2220
(816) 836-3567
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
110
MO
Other
Enumeration date
02/09/2007
Last updated
06/11/2013
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