ROSWELL ADDICTION TREATMENT; NPI #1336479682

Contact Information

ROSWELL ADDICTION TREATMENT

1401 N 18TH ST
KANSAS CITY, KS 66102-2845

Phone: 913-387-4773
Fax: 913-621-2297
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Recovery Care	261QR0800X

Indicates primary specialty

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NPI Profile & details for ROSWELL ADDICTION TREATMENT

NPI # 1336479682

LBN Legal business name ROSWELL ADDICTION TREATMENT

Authorized official JAMES MAXWELL - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/09/2010

Last updated 01/09/2010 - About 16 years ago

Identifiers

License #

07070894

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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