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MOMENTUM BEHAVIORAL HEALTH ASSOCIATES INC NPI 1902143282


NPI Information

NPI: 1902143282
Provider Name: MOMENTUM BEHAVIORAL HEALTH ASSOCIATES, INC

Doing Business As: MOMENTUM BEHAVIORAL HEALTH

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
705B SE MELODY LN
SUITE 112
LEES SUMMIT, MO
ZIP 64063
Phone: (816) 457-3899
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MOMENTUM BEHAVIORAL HEALTH ASSOCIATES, INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Lees Summit, MO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MOMENTUM BEHAVIORAL HEALTH ASSOCIATES, INC NPI is 1902143282. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Momentum Behavioral Health.

The provider's business location address is:

705B SE MELODY LN
SUITE 112
LEES SUMMIT, MO
ZIP 64063-380
Phone: (816) 457-3899
Fax: (888) 482-2151

The provider's authorized official is Annette K Griffith .
The authorized official title is Director and has the following contact phone number (816) 457-3899.

The enumeration date for this NPI number is 1/7/2013 and was last updated on 8/9/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior Analyst2011003585MISSOURINo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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