Betty Lou Wallace Recovery LLC
NPI #1104417419 in Kansas City, Missouri
Provider Information
- NPI Number
- 1104417419
- Entity Type
- Organization
- Organization Name
- Betty Lou Wallace Recovery LLC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Jan 29, 2021
- Last Updated
- Jan 29, 2021
Practice Location
- Address
- 13645 HOLMES RD
- City
- Kansas City
- State
- Missouri
- ZIP Code
- 64145-1482
- Phone
- (480) 388-1495
Authorized Official
- Name
- GEFFEN LIBERMAN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (480) 388-1495
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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