Organization
DEVELOPING POTENTIAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA CASE MSM (EXECUTIVE DIRECTOR)
(816) 914-6843
Entity
Organization
Contact information
Practice address
120 W WALNUT ST, INDEPENDENCE, MO 64050-3846
(816) 252-0086
(816) 525-6003
Mailing address
120 W WALNUT ST, INDEPENDENCE, MO 64050-3846
(816) 252-0086
(816) 525-6003
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
10/17/2012
Last updated
02/28/2013
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