Individual provider · Type 1 NPI

Karlisa Renee Brewer-Jordan

Child Mental Illness Respite Care · Wichita, KS

NPI number 1346498540 Active

Practice location

4031 E Harry St
Wichita, KS 67218-3724

Fax (316) 771-7201

Mailing address

PO Box 780898
Wichita, KS 67278-0898

Specialties and licenses

TaxonomyCodeLicense
Respite Care 385H00000XNone listed
Child Mental Illness Respite Care Primary 385HR2055XNone listed

Child Mental Illness Respite Care: A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

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About NPI 1346498540

Karlisa Renee Brewer-Jordan's National Provider Identifier is 1346498540, issued on Sep 3, 2008. The primary taxonomy on file is Child Mental Illness Respite Care (385HR2055X), and the practice location is in Wichita, KS. The record was last updated on Sep 3, 2008.