Organization Name: | HARRY S. TRUMAN CHILDRENS NEUROLOGICAL CENTER |
NPI Number: | 1588728018 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES D. LANDRUM (EXECUTIVE DIRECTOR) |
Mailing Address: | 8316 Pershing Rd Raytown |
State: | MO US |
Postal Code: | 641383633 |
Phone Number: | 8167378178 |
Fax Number: | 8163533607 |
NPI Enumeration Date: | 12/20/2006 |
NPI Last Update Date: | 06/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | 12606545 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |