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
Mailing address
3220 E 23RD ST, KANSAS CITY, MO 64127-4201
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
1587
MO
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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