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Organization

TIYOSPAYE, INC.

Active
Other names
Higher Ground and/or HG Behavioral Health
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARY SAN MARTIN (EXECUTIVE DIRECTOR/CEO)
(316) 262-2060
Entity
Organization

Contact information

Practice address
2301 E DOUGLAS AVE, WICHITA, KS 67211-1613
(316) 262-2060
(316) 262-2740
Mailing address
247 N MARKET ST, WICHITA, KS 67202-2003
(316) 262-2060
(316) 262-2740

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
04120388
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100371160A
KS
05
100371160C
KS
Enumeration date
04/05/2013
Last updated
04/05/2013
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