Community Support Partners

NPI 1063535649 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1063535649
Enumeration Date 04/09/2007
Last Updated 06/22/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CORY CORY
Position OWNER
Phone (816) 777-1301
Fax (816) 777-1305
Practice Location
8959 E. 59TH STREET
RAYTOWN MO, 64133-3709, US
Phone (816) 777-1301
Fax (816) 777-1305
Business Location
10330 HICKMAN MILLS DR
BLDG 2
KANSAS CITY MO, 64137, US
Phone (816) 777-1301
Fax (816) 777-1305
Toxanomy
Taxonomy Code 320600000X
License State Missouri
License Number 6497-9809
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According to our database, Community Support Partners NPI is 1063535649, taxonomy code is 320600000X and license number is 6497-9809, license state is located at Missouri. Community Support Partners physically located at 8959 E. 59th Street, Raytown MO, 64133-3709. NPI Number 1033115704 has the healthcare provider type.

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1063535649 NPI number is provided on an as is basis without warranty of any kind. 1063535649 is maintained by the National Plan & Provider Enumeration System. The contents of Community Support Partners are for informational purposes only.