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Organization
MENTAL HEALTH SPECIALTY GROUP KS, P.A.
Active
Organization
MENTAL HEALTH SPECIALTY GROUP KS, P.A.
Active
Other names
Rula Health
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL DIOP (AUTHORIZED AGENT)
(323) 205-7088
Entity
Organization
Contact information
Practice address
801 E DOUGLAS AVE, WICHITA, KS 67202-3548
(323) 205-7088
Mailing address
PO BOX 745249, ATLANTA, GA 30374-5249
(323) 205-7088
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
09/12/2024
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