Organization · NPI-2

Brooklong Compassions LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Independence, MO

NPI number1982311536
StatusActive
Last updated in NPPESNov 2, 2022

Details

NPI
1982311536
Entity type
Organization (NPI-2)
Legal business name
Brooklong Compassions LLC
Organization subpart
No
Enumeration date
Nov 2, 2022
Certification date
Nov 2, 2022
Last updated
Nov 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

3122 Bryn Mawr Dr
Independence, MO 64057-2689

Phone 816-507-6002

Mailing address

3122 Bryn Mawr Dr
Independence, MO 64057-2689

Phone 816-507-6002

Authorized official

Donna Colleen Drake
Manager In Charge/Counselor
8165076002

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