Nova Center Inc.

NPI #1174778492 in Grandview, Missouri

Provider Information

NPI Number: 1174778492
Entity Type: Organization
Organization Name: Nova Center Inc.
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 1, 2008
Last Updated: Dec 1, 2008

Practice Location

Address: 12604 3RD ST
City: Grandview
State: Missouri
ZIP Code: 64030-1616
Phone: (816) 761-8614

Authorized Official

Name: MR. CARY LOGAN WILLIAMS
Title: CEO
Phone: (816) 761-8614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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