Organization
CARLA MARIE AVERY-HUTCHINS
Active
Other names
ACJC Day Residential Carla LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLA MARIE AVERY-HUTCHINS (DIRECTOR/OWNER)
(816) 392-9878
Entity
Organization
Contact information
Practice address
12420 W 119TH TER APT 714, OVERLAND PARK, KS 66213-5727
(913) 766-3400
Mailing address
10606 E 34TH ST S, INDEPENDENCE, MO 64052-2624
(816) 392-9878
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
KS
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
KS
Other
Enumeration date
11/02/2012
Last updated
12/06/2013
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