Provider Demographics
NPI:1194317032
Name:KANSAS CITY RELATIONSHIP INSTITUTE
Entity type:Organization
Organization Name:KANSAS CITY RELATIONSHIP INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JARED
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:816-600-0097
Mailing Address - Street 1:4710 S CEDAR CREST CT STE 200
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-6993
Mailing Address - Country:US
Mailing Address - Phone:816-785-3187
Mailing Address - Fax:
Practice Address - Street 1:4710 S CEDAR CREST CT STE 200
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-6993
Practice Address - Country:US
Practice Address - Phone:816-537-1350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-10
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty