Organization
RECOVERY SERVICES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN B. SHAW LCP (CO-EXECUTIVE DIRECTOR)
(785) 242-2991
Entity
Organization
Contact information
Practice address
109 W 2ND ST, OTTAWA, KS 66067-2212
(785) 242-2991
(785) 242-4401
Mailing address
109 W 2ND ST, OTTAWA, KS 66067-2212
(785) 242-2991
(785) 242-4401
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
06940878
KS
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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