BETTY LOU WALLACE RECOVERY LLC NPI 1225496052

NPI Information

BETTY LOU WALLACE RECOVERY LLC is a rehabilitation and substance use disorder clinic center in Kansas City, MO. BETTY LOU WALLACE RECOVERY LLC NPI is 1225496052. The provider is registered as an organization entity type.
The provider Is Doing Business As Midwest Recovery Centers.

The provider's business location address is:

13340 HOLMES RD
KANSAS CITY, MO
ZIP 64145-437
Phone: (816) 599-7382
Fax: (816) 599-7510

The provider's authorized official is Geffen Liberman .
The authorized official title is Vp Of Operations and has the following contact phone number (816) 599-7382.

The CLIA number assigned to this NPI record is 26D2224670 - other - sud detox residential with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2016 and was last updated on 12/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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