Organization
TARGETED CASE MANAGEMENT SERVICES OF KANSAS
Active
Other names
Targeted Case Management of Kansas
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH WREN OTTO M.ED.; MPA (DIRECTOR OF SERVICES)
(913) 229-3643
Entity
Organization
Contact information
Practice address
5916 DEARBORN ST, MISSION, KS 66202-3316
(913) 229-3643
Mailing address
5916 DEARBORN ST, MISSION, KS 66202-3316
(913) 229-3643
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30005167300001
—
KS
Enumeration date
05/16/2024
Last updated
08/29/2024
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