Betty Lou Wallace Recovery LLC
NPI #1366035594 in Kansas City, Missouri
Provider Information
- NPI Number
- 1366035594
- Entity Type
- Organization
- Organization Name
- Betty Lou Wallace Recovery LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Feb 18, 2021
- Last Updated
- Feb 18, 2021
Practice Location
- Address
- 13643 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 |
|---|
| Substance Abuse Rehabilitation Facility |
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