Organization
REACHING OUT
Active
Organization
REACHING OUT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK LAMONT SPRUILL SR. (DIRECTOR)
(816) 678-3522
Entity
Organization
Contact information
Practice address
8300 BOOTH AVE, RAYTOWN, MO 64138-3045
(816) 313-6996
Mailing address
8716 LONGVIEW CT, KANSAS CITY, MO 64134-3674
(816) 765-0680
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up