Organization
CREATIVE SUPPORTS OF KANSAS CITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GUYER (EXECUTIVE DIRECTOR/OWNER)
(816) 389-6050
Entity
Organization
Contact information
Practice address
6500 NW TOWER DR, SUITE B, PLATTE WOODS, MO 64151-4463
(816) 389-6050
Mailing address
6500 NW TOWER DR, SUITE B, PLATTE WOODS, MO 64151-4463
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/15/2016
Last updated
10/17/2016
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