NPI 1881989150
Alcohol and Drug Services
Practice location
- Address
- 6005 Martway St STE. 102, Mission, KS 66202-3374
- Phone
- (913) 722-3866
- Fax
- (913) 722-3867
- Mailing address
- 6005 Martway STE. 102, Mission, KS 66202
Authorised official
- Name
- Mike Dalen
- Title
- President
- Phone
- (913) 722-3866
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1881989150
- Entity type
- Organization
- NPI issued
- 15 Jun 2011
- Record last updated
- 15 Jun 2011
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.