Organization
USD 500
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA PRETZ (PROJECT MANAGER)
(913) 627-5676
Entity
Organization
Contact information
Practice address
4601 STATE AVE, STE 38.SPED, KANSAS CITY, KS 66102-3603
(913) 627-5676
(913) 627-5688
Mailing address
4601 STATE AVE, STE 38.SPED, KANSAS CITY, KS 66102-3603
(913) 627-5676
(913) 627-5688
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100211550C
—
KS
Enumeration date
12/15/2009
Last updated
12/15/2009
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