# FOUR COUNTY MENTAL HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Active Partners In Home Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699099077
- **Authorized official:** MR. GREG HENNEN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (620) 331-1748

## Contact information

- **Practice address:** 415 FRUITLAND, INDEPENDENCE, KS 67301
- **Practice address phone:** (620) 332-8584
- **Mailing address:** PO BOX 688, INDEPENDENCE, KS 67301-0688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | A103009 | KS | Yes |

## Other

- **Enumeration date:** 03/15/2010
- **Last updated:** 11/11/2011