# MENTAL HEALTH ASSOCIATION OF SOUTH CENTRAL KANSAS

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

## Provider details

- **NPI number:** 1477004380
- **Authorized official:** CAROL MANNING APRN (PRESIDENT/CEO)
- **Authorized official phone:** (316) 651-1217

## Contact information

- **Practice address:** 555 N WOODLAWN ST, SUITE 3105, WICHITA, KS 67208-3646
- **Practice address phone:** (316) 685-1821
- **Practice address fax:** (316) 685-0768
- **Mailing address:** 555 N WOODLAWN ST, SUITE 3105, WICHITA, KS 67208-3646
- **Mailing address phone:** (316) 685-1821
- **Mailing address fax:** (316) 685-0768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2016
- **Last updated:** 10/17/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100229210D | — | KS |