Organization
SELECTRA ONESOURCE, INC.
Active
Other names
Selectra Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANIA LATRICE WRIGHT (DIRECTOR)
(816) 822-1000
Entity
Organization
Contact information
Practice address
1734 E 63RD ST, 448, KANSAS CITY, MO 64110-3543
(816) 822-1000
(816) 822-1040
Mailing address
1734 E 63RD ST, 448, KANSAS CITY, MO 64110-3543
(816) 822-1000
(816) 822-1040
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/21/2007
Last updated
01/06/2008
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