Organization
ADDICTION STRESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MILLER (OFFICE MANAGER)
(913) 907-7911
Entity
Organization
Contact information
Practice address
1225 N 78TH ST, SUITE J, KANSAS CITY, KS 66112-2401
(913) 299-9255
(913) 299-0414
Mailing address
1225 N 78TH ST, SUITE J, KANSAS CITY, KS 66112-2401
(913) 299-9255
(913) 299-0414
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
623
KS
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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