Provider Demographics
NPI:1548425127
Name:HARRY S TRUMAN CHILDRENS NEUROLOGICAL CENTER
Entity Type:Organization
Organization Name:HARRY S TRUMAN CHILDRENS NEUROLOGICAL CENTER
Other - Org Name:TNC COMMUNITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HURBBER
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-373-5060
Mailing Address - Street 1:15600 WOODS CHAPEL RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64139-1354
Mailing Address - Country:US
Mailing Address - Phone:816-373-5060
Mailing Address - Fax:816-373-5787
Practice Address - Street 1:2828 SO. ENGLEWOOD TERR.
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64052
Practice Address - Country:US
Practice Address - Phone:816-373-5060
Practice Address - Fax:816-373-5787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities