Jolet Ii, Incorporated
NPI #1407037179 in Kansas City, Missouri
Provider Information
- NPI Number
- 1407037179
- Entity Type
- Organization
- Organization Name
- Jolet Ii, Incorporated
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Nov 21, 2007
- Last Updated
- Nov 21, 2007
Practice Location
- Address
- 3920 FOREST AVE
- City
- Kansas City
- State
- Missouri
- ZIP Code
- 64110-1220
- Phone
- (816) 861-5189
Authorized Official
- Name
- RONALD K THOMPSON
- Title
- ADMINISTRATOR
- Phone
- (816) 861-5189
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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