Organization
GOODWILL OF WESTERN MISSOURI AND EASTERN KANSAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD LADA JR. (PRESIDENT/CEO)
(816) 842-7425
Entity
Organization
Contact information
Practice address
1817 CAMPBELL ST, KANSAS CITY, MO 64108-1739
(816) 842-7425
Mailing address
1817 CAMPBELL ST, KANSAS CITY, MO 64108-1739
(816) 842-7425
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/17/2018
Last updated
10/03/2018
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