# RESIDENTIAL TREATMENT SERVICES OF SOUTHEAST KANSAS, LLC

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

## Provider details

- **NPI number:** 1356900286
- **Authorized official:** DR. JAMIE DAWN KING PSY.D. (CO-OWNER/DIRECTOR)
- **Authorized official phone:** (620) 421-1155

## Contact information

- **Practice address:** 4919 MAIN ST., PARSONS, KS 67357-1174
- **Practice address phone:** (620) 421-1155
- **Practice address fax:** (620) 421-1156
- **Mailing address:** PO BOX 1174, PARSONS, KS 67357-1174
- **Mailing address phone:** (620) 421-1155
- **Mailing address fax:** (620) 421-1156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/13/2019
- **Last updated:** 06/13/2019