OrganizationActive
Betty Lou Wallace Recovery LLC
NPI 1104417419 · Substance Use Disorder Rehabilitation Clinic/Center · Kansas City, MO
Provider details
- NPI number
- 1104417419
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Geffen Liberman, Executive Director
Mailing address
13340 Holmes Rd
Kansas City, MO 64145-1437
Registry dates
- Enumerated
- 2021-01-29
- Last updated
- 2021-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.