Kansas Children'S Service League
Community/Behavioral Health in Wichita, KS. Organization (NPI-2).
NPI number1083828362
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1083828362
- Entity type
- Organization (NPI-2)
- Legal business name
- Kansas Children'S Service League
- Organization subpart
- No
- Enumeration date
- May 9, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 229 | KS | Yes |
Practice location
1365 N CusterWichita, KS 67203
Phone 316-942-4261 · Fax 316-943-9995
Mailing address
1365 N CusterWichita, KS 67203
Phone 316-942-4261 · Fax 316-943-9995
Authorized official
Pamela Cornwell
Clinical Supervisor
3169424261
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