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Organization

CRITTENTON CHILDRENS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY LUDWIG LCSW LSCSW (THERAPIST)
(816) 767-4117
Entity
Organization

Contact information

Practice address
10918 ELM AVE, KANSAS CITY, MO 64134-4108
(816) 767-4117
Mailing address
10918 ELM AVE, KANSAS CITY, MO 64134-4108

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
2000148145
MO

Other

Enumeration date
06/23/2008
Last updated
06/23/2008
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