Organization
ATCHISON CITY INFANT-TODDLER PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY DOMANN (DIRECTOR)
(913) 360-5523
Entity
Organization
Contact information
Practice address
626 COMMERCIAL ST, ATCHISON, KS 66002-2405
(620) 724-6281
Mailing address
947 W 47 HWY, GIRARD, KS 66743-2347
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/06/2014
Last updated
08/07/2014
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