Organization
GRAND RIVER RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTI MARIE QUICK LPC (EXECUTIVE DIRECTOR)
(816) 507-6609
Entity
Organization
Contact information
Practice address
28105 S BUFORD RD, HARRISONVILLE, MO 64701-8325
(816) 507-6609
Mailing address
28105 S BUFORD RD, HARRISONVILLE, MO 64701-8325
(816) 507-6609
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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