Organization Name: | ANDERSON COUNTY MENTAL HEALTH |
NPI Number: | 1922469618 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUSTIN DEAN NUTT (OWNER) |
Mailing Address: | 200 S Maple St Garnett |
State: | KS US |
Postal Code: | 660321017 |
Phone Number: | 7852044357 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2016 |
NPI Last Update Date: | 03/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |