Organization
FAITH'S HAVEN CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA NIMMO MSW (EXECUTIVE DIRECTOR)
(816) 356-5437
Entity
Organization
Contact information
Practice address
7840 SPRING VALLEY RD, RAYTOWN, MO 64138-1317
(816) 356-5437
(816) 356-5444
Mailing address
7840 SPRING VALLEY RD, RAYTOWN, MO 64138-1317
(816) 356-5437
(816) 356-5444
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MO
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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