Interface
NPI #1053898080 in Excelsior Springs, Missouri
Provider Information
- NPI Number
- 1053898080
- Entity Type
- Organization
- Organization Name
- Interface
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jul 23, 2018
- Last Updated
- Jul 23, 2018
Practice Location
- Address
- 235 E BROADWAY ST
- State
- Missouri
- ZIP Code
- 64024-2564
- Phone
- (816) 507-9943
Authorized Official
- Name
- DR. LISA G ADAMS, PHD
- Title
- OWNER
- Phone
- (816) 507-9943
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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