# LAKEMARY CENTER

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

## Provider details

- **NPI number:** 1992060347
- **Authorized official:** DR. COURTNIE L. CAIN LP (PRTF CLINICAL PROGRAM COORDINATOR)
- **Authorized official phone:** (913) 557-4000

## Contact information

- **Practice address:** 100 LAKEMARY DR, PAOLA, KS 66071-1855
- **Practice address phone:** (913) 557-4000
- **Practice address fax:** (913) 557-4910
- **Mailing address:** 100 LAKEMARY DR, PAOLA, KS 66071-1855
- **Mailing address phone:** (913) 557-4000
- **Mailing address fax:** (913) 557-4910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 2205 | KS | Yes |

## Other

- **Enumeration date:** 07/11/2012
- **Last updated:** 07/11/2012