Organization · NPI-2

Bert Nash Cmhc INC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Lawrence, KS

NPI number1659820660
StatusActive
Last updated in NPPESFeb 14, 2022

Details

NPI
1659820660
Entity type
Organization (NPI-2)
Legal business name
Bert Nash Cmhc INC
Organization subpart
No
Enumeration date
Oct 3, 2016
Certification date
Sep 30, 2021
Last updated
Feb 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)2868KSYes

Practice location

200 Maine St
Suite A
Lawrence, KS 66044-1368

Phone 785-843-9192 · Fax 785-843-6744

Mailing address

200 Maine Street
Suite A
Lawrence, KS 66044-1396

Phone 785-843-9192 · Fax 785-843-6744

Authorized official

Amy Finkeldei
Dir Of Performance & Quality Improv
7858301796

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