Organization
HARAMBEE CIRCLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN DIAL (CEO)
(816) 365-0077
Entity
Organization
Contact information
Practice address
2701 E 31ST ST, KANSAS CITY, MO 64128-1516
(816) 365-0077
Mailing address
PO BOX 140312, KANSAS CITY, MO 64114-0312
(816) 365-0077
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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