Organization
KANSAS CITY TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP HERSCHMAN PHD (OTP DIVISION PRESIDENT)
(760) 918-8700
Entity
Organization
Contact information
Practice address
1125 N 5TH ST, KANSAS CITY, KS 66101-2305
(913) 342-0888
(913) 342-2644
Mailing address
1125 N 5TH ST, KANSAS CITY, KS 66101-2305
(913) 342-0888
(913) 342-2644
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
380
KS
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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