Organization Name: | GEENENS PSYCHIATRY |
NPI Number: | 1013242684 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUGLAS LEE GEENENS (PRESIDENT) |
Mailing Address: | 4901 W 136th St Leawood |
State: | KS US |
Postal Code: | 662245926 |
Phone Number: | 9139563999 |
Fax Number: | 9138907285 |
NPI Enumeration Date: | 10/14/2009 |
NPI Last Update Date: | 10/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | 522577 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |