is a Rehabilitation, Substance Use Disorder in Frontenac, Kansas. practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for is 1720199870. The last update date is .
's current location address is 1105 S Hugh, Frontenac, Kansas. You can contact this provider via phone number 6202351600 and fax number 6202300818. The mailing address for is 1105 S Hugh, Frontenac, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1105 S Hugh, Frontenac, Kansas |
| Phone Number | 6202351600 |
| Fax Number | 6202300818 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1720199870 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1105 S Hugh |
|---|---|
| City | Frontenac |
| State | Kansas (KS) |
| Post Code | 667632361 |
| Phone Number | 6202351600 |
| Fax Number | 6202300818 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
| Licence No | A02 |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100211500E | KS | -- |
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