Organization · Type 2 NPI

Sequel of Kansas, LLC

Emotionally Disturbed Childrens' Residential Treatment Facility · Goddard, KS

NPI number 1811327950 Active

Practice location

24401 W Macarthur Rd
Goddard, KS 67052-8713

Fax (316) 794-2773

Specialties and licenses

Taxonomy	Code	License
Adolescent and Children Mental Health Clinic/Center	261QM0855X	0063040-008 (KS)
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	None listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

8 other providers at this address

Other emotionally disturbed childrens' residential treatment facility providers in Goddard

Kings Camp IncEmotionally Disturbed Childrens' Residential Treatment Facility Goddard, KS NPI 1386611226

See all in Goddard →

NPI record

NPI: 1811327950
Entity type: Organization (Type 2)
Issued: Nov 26, 2013
Last updated: Sep 10, 2021
Status: Active

Other names

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Lakeside Academy of Kansas · doing business as
Lakeside Academy of Kansas · doing business as

Authorized official

Mary Caudle
Senior Director of Patient Accounts
(256) 880-3339

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1811327950

Sequel of Kansas, LLC's National Provider Identifier is 1811327950, issued on Nov 26, 2013. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Goddard, KS. The record was last updated on Sep 10, 2021.