Healthcare Provider Details
I. General information
NPI: 1881664365
Provider Name (Legal Business Name): GILLIS CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8150 WORNALL RD
KANSAS CITY MO
64114-5806
US
IV. Provider business mailing address
8150 WORNALL RD
KANSAS CITY MO
64114-5806
US
V. Phone/Fax
- Phone: 816-508-3500
- Fax: 816-508-3535
- Phone: 816-508-3500
- Fax: 816-508-3535
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 322D00000X |
| Taxonomy | Emotionally Disturbed Childrens' Residential Treatment Facility |
| License Number | |
| License Number State | MO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320800000X |
| Taxonomy | Mental Illness Community Based Residential Treatment Facility |
| License Number | |
| License Number State | MO |
VIII. Authorized Official
Name: MRS.
MARY
ELLEN
SCHAID
Title or Position: CEO
Credential: MSW
Phone: 816-508-3501