Organization
CENTER FOR THE DEVELOPMENTALLY DISABLED
Active
Organization
CENTER FOR THE DEVELOPMENTALLY DISABLED
Active
Other names
Special Neighbors
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH H MUDD (EXECUTIVE DIRECTOR)
(816) 531-0045
Entity
Organization
Contact information
Practice address
3704 S. BLUE RIDGE BLVD, INDEPENDENCE, MO 64052
(816) 836-3462
(816) 836-5158
Mailing address
1010 W. 39TH STREET, KANSAS CITY, MO 64111-3880
(816) 531-0045
(816) 756-5612
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
853016301
—
MO
Enumeration date
07/05/2007
Last updated
06/07/2016
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