OrganizationActive
Community Support Partners
NPI 1063535649 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Raytown, MO
Provider details
- NPI number
- 1063535649
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Cory Royer, Owner
- License
- 6497-9809 (MO)
Practice location
8959 E. 59th Street
Raytown, MO 64133-3709
Phone: (816) 777-1301
Fax: (816) 777-1305
Mailing address
10330 Hickman Mills Dr
Kansas City, MO 64137
Registry dates
- Enumerated
- 2007-04-09
- Last updated
- 2009-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.