# KIDSTLC, INC

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

## Provider details

- **NPI number:** 1356912414
- **Authorized official:** LAUREN HENTCHEL (ASSOCIATE VP REFERRALS & ADMISSIONS)
- **Authorized official phone:** (913) 226-2430

## Contact information

- **Practice address:** 480 S ROGERS RD, OLATHE, KS 66062-1706
- **Practice address phone:** (913) 764-2887
- **Practice address fax:** (913) 768-1437
- **Mailing address:** 480 S ROGERS RD, OLATHE, KS 66062-1706
- **Mailing address phone:** (913) 764-2887
- **Mailing address fax:** (913) 768-1437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/08/2021
- **Last updated:** 07/08/2021