Organization
FRONTLINE INTERVENTION SOLUTION TODAY-ORGANIZATION LLC LIMITED LIABILI
Active
Parent organization
FRONTLINE INTERVENTION SOLUTION TODAY-ORGANIZATION LLC LIMITED LIABILI
Other names
Frontline Intervention Solution Today-Organization LLC Limited Liabili
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRONTLINE INTERVENTION SOLUTION TODAY-ORGANIZATION LLC LIMITED LIABILI
Authorized official
MR. JIMMIE C. PHOENIX SR. LAC ADDICTION COUNS (C.E.O)
(913) 999-5874
Entity
Organization
Contact information
Practice address
3211 N 38TH ST, KANSAS CITY, KS 66104-3726
(913) 999-5874
(913) 999-5874
Mailing address
3211 N 38TH ST, KANSAS CITY, KS 66104-3726
(913) 999-5874
(913) 999-5874
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
LAC264
KS
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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