Organization Name: | HAYSVILLE MENTAL HEALTH & SUBSTANCE ABUSE, INC. |
NPI Number: | 1063668507 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TAMMIE DIANE MILNER (DIRECTOR) |
Mailing Address: | 301 W Grand Ave Haysville |
State: | KS US |
Postal Code: | 670601201 |
Phone Number: | 3165221444 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2008 |
NPI Last Update Date: | 11/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 06890858 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |