Organization
BENILDE HALL PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM KENT JEWELL MA, CRADC,CCDP-D (EXECUTIVE DIRECTOR)
(816) 842-5836
Entity
Organization
Contact information
Practice address
3220 E 23RD ST, KANSAS CITY, MO 64127-4201
(816) 842-5836
(816) 421-5026
Mailing address
3220 E 23RD ST, KANSAS CITY, MO 64127-4201
(816) 842-5836
(816) 421-5026
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1587
MO
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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