Organization
DEVELOPING POTENTIAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA ANN CASE (EXECUTIVE DIRECTOR)
(816) 252-0086
Entity
Organization
Contact information
Practice address
1608A PROSPECT AVE., KANSAS CITY, MO 64127-2542
(816) 252-0086
(816) 525-6003
Mailing address
120 W WALNUT ST, INDEPENDENCE, MO 64050-3846
(816) 252-0086
(816) 525-6003
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
15312631
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856850904
—
MO
Enumeration date
03/19/2007
Last updated
02/28/2013
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