Organization
T C J ENTERPRISE
Active
Other names
PEACE DAY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOE ELLA RIVERS (DIRECTOR OF RESIDENTIAL SERVICES)
(816) 838-4095
Entity
Organization
Contact information
Practice address
10540 MARTY, 200-C, OVERLAND PARK, KS 66212
(816) 838-4095
(816) 942-3909
Mailing address
10540 MARTY, 200-C, OVERLAND PARK, KS 66212
(816) 942-3909
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
KS
251C00000X
Developmentally Disabled Services Day Training Agency
—
KS
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
KS
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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