NPI:
1366618852
Provider Name:
NORTHLAND DEPENDENCY SERVICES, LLC
Other Name: NORTHLAND CORRECTIONAL SERVICES
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
26 S GALLATIN ST
LIBERTY, MO
ZIP 64068
Phone:
(816) 781-8999
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NORTHLAND DEPENDENCY SERVICES, LLC is a rehabilitation and substance use disorder clinic center in Liberty, MO. NORTHLAND DEPENDENCY SERVICES, LLC NPI is 1366618852. The provider is registered as an organization entity type.
The provider Other Name Is Northland Correctional Services.
The provider's business location address is:
26 S GALLATIN ST
LIBERTY, MO
ZIP 64068-302
Phone: (816) 781-8999
Fax: (816) 792-2883
The provider's authorized official is Christine S Schloss .
The authorized official title is Director and has the following contact phone number (816) 781-8999.
The enumeration date for this NPI number is 5/5/2008 and was last updated on 5/5/2008.