Organization
THE MIRROR, INC.
Active
Other names
Mirror, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH T MEITNER (DIRECTOR OF UTILIZATION)
(316) 400-6863
Entity
Organization
Contact information
Practice address
130 E 5TH ST, NEWTON, KS 67114-2206
(316) 283-6743
(316) 283-6830
Mailing address
130 E 5TH ST, NEWTON, KS 67114-2206
(316) 283-6743
(316) 283-6830
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
0093
KS
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
0093
KS
324500000X
Substance Abuse Rehabilitation Facility
Primary
0093
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001402
BCBS DAY TREATMENT
KS
01
—
014938
BCBS OUTPATIENT
KS
05
—
100106710B
—
KS
05
—
100106710C
—
KS
05
—
100106710D
—
KS
05
—
100106710F
—
KS
05
—
100106710I
—
KS
05
—
100106710L
—
KS
05
—
100106710M
—
KS
05
—
100106710P
—
KS
05
—
100106710Q
—
KS
05
—
100106710R
—
KS
05
—
100106710S
—
KS
05
—
100106710T
—
KS
05
—
200676050A
—
KS
Enumeration date
03/29/2007
Last updated
01/10/2022
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