Organization
CRITTENTON
Active
Organization
CRITTENTON
Active
Parent organization
CRITTENTON
Other names
Crittenton Children Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRITTENTON
Authorized official
WILLARD G STARON (CFO)
(816) 765-6600
Entity
Organization
Contact information
Practice address
10918 ELM AVE, KANSAS CITY, MO 64134-4108
(816) 765-6600
Mailing address
10918 ELM AVE, KANSAS CITY, MO 64134-4108
(816) 765-6600
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852443605
—
MO
Enumeration date
02/21/2007
Last updated
09/11/2014
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