Organization
BETTY LOU WALLACE RECOVERY
Active
Other names
Midwest Recovery Centers
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN O'GRADY (CHIEF EXECUTIVE OFFICER/CEO)
(816) 599-7382
Entity
Organization
Contact information
Practice address
13013 STATE LINE RD, KANSAS CITY, MO 64145
(816) 599-7382
(816) 599-7510
Mailing address
13340 HOLMES RD, KANSAS CITY, MO 64145
(816) 599-7382
(816) 599-7510
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
12/06/2023
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