# SHUNGA CREEK MENTAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093249773
- **Authorized official:** DEBERAH M SNODGRASS (OFFICE MANAGER)
- **Authorized official phone:** (785) 273-6200

## Contact information

- **Practice address:** 5040 SW 28TH ST, TOPEKA, KS 66614-2302
- **Practice address phone:** (785) 273-6200
- **Mailing address:** 5040 SW 28TH ST, TOPEKA, KS 66614-2302
- **Mailing address phone:** (785) 273-6200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | KS 0147 | KS | Yes |

## Other

- **Enumeration date:** 04/19/2017
- **Last updated:** 04/19/2017
