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Organization

ANIMA LLC

Active
Other names
Southwest Psychiatric Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ALICE JOYCE GRIFFITT ARNP (OWNER)
(620) 624-2900
Entity
Organization

Contact information

Practice address
150 PLAZA DR STE F, LIBERAL, KS 67901-2779
(620) 624-2900
(620) 624-4050
Mailing address
150 PLAZA DR STE F, LIBERAL, KS 67901-2779
(620) 624-2900
(620) 624-4050

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
74614
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
171011
MEDICARE
KS
01
171011
BLUE CROSS BLUE SHIELD
ME
Enumeration date
03/05/2007
Last updated
07/25/2007
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