| Community Living Opportunities, Inc | |
|
7725 W 87th St Overland Park KS 66212-1905 | |
| (913) 341-9316 | |
| (913) 341-1198 |
| Full Name | Community Living Opportunities, Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 7725 W 87th St, Overland Park, Kansas |
| Authorized Official Name and Position | Kristen Ivey (ACCOUNTS RECEIVABLE) |
| Authorized Official Contact | 9133419316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Living Opportunities, Inc Po Box 14395 Lenexa KS 66285-4395 Ph: (913) 341-9316 | Community Living Opportunities, Inc 7725 W 87th St Overland Park KS 66212-1905 Ph: (913) 341-9316 |
| NPI Number | 1154776219 |
|---|---|
| Provider Enumeration Date | 04/26/2016 |
| Last Update Date | 03/18/2021 |
| Certification Date | 03/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154776219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (NU) | Primary |
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