Dickerson Isl
Dickerson Isl is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kansas City, Missouri. Licensed in Missouri. Registered with an NPI since 2008.
- Licensed in
- MO
- In the registry since
- 2008
Practice location Address checks out
9401 E 90th TerKansas City, MO 64138-4770
Phone: (816) 353-8850
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 9227 (MO) |
|---|
Record details
| NPI number | 1255505939 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charles Dickerson — Provider · (816) 353-8850 |
| NPI enumerated | April 14, 2008 |
| Last updated in NPPES | April 14, 2008 |
| Mailing address | 9401 E 90th Ter, Kansas City, MO 64138-4770 |
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