Charles Mutumba

NPI #1275866881 in Kansas City, Missouri

Provider Information

NPI Number: 1275866881
Entity Type: Individual
Name: Charles Mutumba
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 14, 2009
Last Updated: Sep 14, 2009

Practice Location

Address: 9807 WORNALL RD
Address 2: #D
City: Kansas City
State: Missouri
ZIP Code: 64114-3986
Phone: (816) 589-7475

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary
Day Training/Habilitation Specialist	373H00000X

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