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Organization

KANSAS CITY COMMUNITY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES EUGENE MORGAN M.S. M.P.A. (PRESIDENT)
(816) 421-6670
Entity
Organization

Contact information

Practice address
644 S SCENIC AVE, SPRINGFIELD, MO 65802-5072
(417) 866-3293
(417) 866-3294
Mailing address
1730 PROSPECT AVE, KANSAS CITY, MO 64127-2544
(816) 421-6670
(816) 421-4701

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
09/04/2009
Last updated
09/04/2009
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