Organization
SBH HOME
Active
Other names
Springbrook II
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL JEAN LYON (ADMINISTRATOR)
(816) 220-3807
Entity
Organization
Contact information
Practice address
9001 S LITCHFORD RD, GRAIN VALLEY, MO 64029-8115
(816) 220-3807
Mailing address
9001 S LITCHFORD RD, GRAIN VALLEY, MO 64029-8115
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
WC1-0229-0112
MO
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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