| Organization Name: | CATHOLIC CHARITIES OF NORTHEAST KANSAS INC |
| NPI Number: | 1053493379 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAN M LEWIS (PRESIDENT AND CEO) |
| Mailing Address: | 9401 Mission Rd Leawood |
| State: | KS US |
| Postal Code: | 662062045 |
| Phone Number: | 9132621160 |
| Fax Number: | 9132620818 |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 11/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |