Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

State of Missouri

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1609954809

State of Missouri is a Substance Use Disorder Rehabilitation Clinic/Center in Kansas City, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
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Practice location Address checks out

1000 E 24th St
Kansas City, MO 64108-2776
Phone: (816) 512-7143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X · Licence EXEMPT (MO)

Record details

NPI number1609954809
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationState of Missouri
Authorized official Molly Boeckmann — Director Of Administrative Services · (573) 751-4055
Other names Paseo Clinic; Paseo Clinic
NPI enumeratedNovember 2, 2006
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020
Mailing addressPo Box 687, Jefferson City, MO 65102-0687

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