Whalio Doctors

NPI 1174598395

Lemontree Enterprises, LLC Dba Liberty Juvenile Services & Treatment

Organisation Psychiatric Residential Treatment Facility Wichita, KS

Practice location

Address
2050 W 11th Street N, Wichita, KS 67203
Phone
(316) 267-5710
Mailing address
2050 W 11th St N, Wichita, KS 67203-3006

Authorised official

Name
Timothy Smith
Title
Chief Financial Officer
Phone
(316) 267-5710

Registered specialties

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X Licence 440861 (KS)

Registry record

NPI
1174598395
Entity type
Organization
NPI issued
21 Feb 2006
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.