Organization
TARGETED CASE MANAGEMENT SERVICES OF KANSAS
Active
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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