# KANZA MENTAL HEALTH AND GUIDANCE CENTER ALCOHOL AND DRUG

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

## Provider details

- **NPI number:** 1568675197
- **Authorized official:** DAVID L ELSBURY LMLP (CEO)
- **Authorized official phone:** (785) 742-7443

## Contact information

- **Practice address:** 909 S 2ND ST, HIAWATHA, KS 66434-2774
- **Practice address phone:** (785) 742-7133
- **Practice address fax:** (785) 742-3085
- **Mailing address:** 909 S 2ND ST, PO BOX 319, HIAWATHA, KS 66434-2774
- **Mailing address phone:** (785) 742-7133
- **Mailing address fax:** (785) 742-3085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 013 | KS | Yes |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 08/22/2020