Organization
MENTAL HEALTH SPECIALTY GROUP KS, P.A.
Active
Other names
Rula Health
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL DIOP (AUTHORIZED AGENT)
(323) 205-7088
Entity
Organization
Contact information
Practice address
801 E DOUGLAS AVE, WICHITA, KS 67202-3548
(323) 205-7088
Mailing address
PO BOX 745249, ATLANTA, GA 30374-5249
(323) 205-7088
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
09/12/2024
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