Organization
NORTHWEST HEALTH SERVICES, INC.
Active
Other names
Northwest Behavioral Health Services, NW Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MATT YOUNGER (CEO)
(816) 232-6818
Entity
Organization
Contact information
Practice address
3608 FARAON ST, SAINT JOSEPH, MO 64506-3044
(816) 364-6444
(816) 364-6929
Mailing address
2303 VILLAGE DR, SAINT JOSEPH, MO 64506-4954
(816) 232-6168
(816) 232-2991
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
1223G0001X
General Practice Dentistry
—
—
2084P0800X
Psychiatry Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504023706
—
MO
Enumeration date
04/06/2007
Last updated
11/10/2021
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