Organization · Type 2 NPI

At Provider Group of Kansas PA

Substance Use Disorder Rehabilitation Clinic/Center · Overland Park, KS

NPI number 1912777046 Active

Practice location

9393 W 110th St Ste 500
Overland Park, KS 66210-1464

Call (845) 769-8758 Map

Mailing address

1640 Boro Pl Fl 4
Mc Lean, VA 22102-3627

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center 261QM0850XNone listed
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1912777046

At Provider Group of Kansas PA's National Provider Identifier is 1912777046, issued on Jan 9, 2024. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Overland Park, KS. The record was last updated on Jan 9, 2024.