Organization
TWO RIVERS PSYCHIATRIC HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (CFO/SR VP)
(610) 768-3300
Entity
Organization
Contact information
Practice address
5121 RAYTOWN RD, KANSAS CITY, MO 64133-2141
(816) 356-5688
Mailing address
1 DUNWOODY PARK STE 230, DUNWOODY, GA 30338-7404
(678) 684-5678
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
349-19
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12569505
—
MO
Enumeration date
02/08/2006
Last updated
04/11/2019
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