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Organization
FOUR COUNTY MENTAL HEALTH CENTER, INC.
Active
Organization
FOUR COUNTY MENTAL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JODI L. MASON (DIRECTOR BUSINESS OPERATIONS)
(620) 331-1748
Entity
Organization
Contact information
Practice address
3354 HIGHWAY 160, INDEPENDENCE, KS 67301-7841
(620) 331-1748
(620) 332-1940
Mailing address
PO BOX 688, INDEPENDENCE, KS 67301-0688
(620) 331-1748
(620) 332-1940
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097980D
—
KS
Enumeration date
11/07/2006
Last updated
09/30/2022
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