OrganizationActive
Community Access
NPI 1376684563 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Independence, MO
Provider details
- NPI number
- 1376684563
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Rita Oliver, Executive Director
- License
- 800378 (MO)
Practice location
1814 N Whitney Rd
Independence, MO 64058-1574
Phone: (816) 257-7222
Fax: (816) 257-7188
Mailing address
1814 N Whitney Rd
Independence, MO 64058-1574
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2008-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.