Provider Demographics
NPI:1518013507
Name:CASS COUNTY BOARD OF SERVICES
Entity Type:Organization
Organization Name:CASS COUNTY BOARD OF SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:J
Authorized Official - Last Name:KUTCHBACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-380-7359
Mailing Address - Street 1:1800 W VINE ST
Mailing Address - Street 2:
Mailing Address - City:HARRISONVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64701-4022
Mailing Address - Country:US
Mailing Address - Phone:816-380-7359
Mailing Address - Fax:816-380-7363
Practice Address - Street 1:1800 W VINE ST
Practice Address - Street 2:
Practice Address - City:HARRISONVILLE
Practice Address - State:MO
Practice Address - Zip Code:64701-4022
Practice Address - Country:US
Practice Address - Phone:816-380-7359
Practice Address - Fax:816-380-7363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251B00000XAgenciesCase Management
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services