Provider Demographics
NPI:1265737472
Name:METROPOLITAN ORGANIZATION TO COUNTER SEXUAL ASSAULT
Entity type:Organization
Organization Name:METROPOLITAN ORGANIZATION TO COUNTER SEXUAL ASSAULT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PROGRAM COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:816-285-1370
Mailing Address - Street 1:3100 BROADWAY ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-2658
Mailing Address - Country:US
Mailing Address - Phone:816-285-1370
Mailing Address - Fax:816-931-4532
Practice Address - Street 1:3100 BROADWAY ST
Practice Address - Street 2:SUITE 400
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-2658
Practice Address - Country:US
Practice Address - Phone:816-285-1370
Practice Address - Fax:816-931-4532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002004630251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health