Organization
LEMON TREE ENTERPRISES, LLC
Active
Other names
Liberty Juvenile Services & Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY SMITH (CHIEF FINANCIAL OFFICER)
(316) 267-5710
Entity
Organization
Contact information
Practice address
2050 W 11TH ST N, WICHITA, KS 67203
(316) 267-5710
(316) 267-7510
Mailing address
2050 W 11TH ST N, WICHITA, KS 67203
(316) 267-5710
(316) 267-7510
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
44086-1
KS
Other
Enumeration date
04/27/2007
Last updated
08/22/2020
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