OrganizationActive
Community Support Partners
NPI 1376681650 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Kansas City, MO
Provider details
- NPI number
- 1376681650
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Cory Royer, Owner(816) 777-1301
- License
- 6368-9311 (MO)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 6368-9311 (MO)
Residential Treatment Facilities
Practice location
8600 E 74th St
Kansas City, MO 64133-6318
Phone: (816) 777-1301
Fax: (816) 777-1305
Approximate (ZIP-level) locationGet directions
Mailing address
10330 Hickman Mills Dr
Kansas City, MO 64137-1618
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 2009-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.