Organization Name: | FOUR COUNTY MENTAL HEALTH CENTER, INC. |
NPI Number: | 1033288535 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JODI L. MASON (DIRECTOR BUSINESS OPERATIONS) |
Mailing Address: | 3751 W Main St Independence |
State: | KS US |
Postal Code: | 673018446 |
Phone Number: | 6203311748 |
Fax Number: | 6203321940 |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 09/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | |
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: |