Organization
SHUNGA CREEK MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBERAH M SNODGRASS (OFFICE MANAGER)
(785) 273-6200
Entity
Organization
Contact information
Practice address
5040 SW 28TH ST, TOPEKA, KS 66614-2302
(785) 273-6200
Mailing address
5040 SW 28TH ST, TOPEKA, KS 66614-2302
(785) 273-6200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KS 0147
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165192
—
KS
Enumeration date
04/19/2017
Last updated
04/19/2017
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