Nova Centrer Inc.

NPI #1316132756 in Grandview, Missouri

Provider Information

NPI Number: 1316132756
Entity Type: Organization
Organization Name: Nova Centrer Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: NOVA CENTRER INC.
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 10, 2007
Last Updated: Sep 10, 2007

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, B.A
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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