# MENTAL HEALTH SPECIALTY GROUP KS, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rula Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063282390
- **Authorized official:** GABRIEL DIOP (AUTHORIZED AGENT)
- **Authorized official phone:** (323) 205-7088

## Contact information

- **Practice address:** 801 E DOUGLAS AVE, WICHITA, KS 67202-3548
- **Practice address phone:** (323) 205-7088
- **Mailing address:** PO BOX 745249, ATLANTA, GA 30374-5249
- **Mailing address phone:** (323) 205-7088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2024
- **Last updated:** 09/12/2024