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Organization
IROQUOIS CENTER FOR HUMAN DEVELOPMENT, INC.
Active
Organization
IROQUOIS CENTER FOR HUMAN DEVELOPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES SHELDON CARPENTER LMLP, LCP (EXECUTIVE DIRECTOR)
(620) 723-2272
Entity
Organization
Contact information
Practice address
610 E GRANT AVE, GREENSBURG, KS 67054-2708
(620) 723-2272
(620) 723-3450
Mailing address
610 E GRANT AVE, GREENSBURG, KS 67054-2708
(620) 723-2272
(620) 723-3450
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098110A
—
KS
05
—
100098110B
—
KS
Enumeration date
05/24/2005
Last updated
08/22/2020
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