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Organization

COTTON O'NEIL CLINIC RECOVABLE TRUST

Active
Other names
COTTON O'NEIL BEHAVIORAL HEALTH
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEBRA YOCUM (VICE PRESIDENT)
(785) 354-9591
Entity
Organization

Contact information

Practice address
3707 SW 6TH AVE, TOPEKA, KS 66606-2084
(785) 270-4600
(785) 270-4601
Mailing address
901 SW GARFIELD AVE, TOPEKA, KS 66606-1670
(785) 354-9591

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2084P0802X
Addiction Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician
2084P0805X
Geriatric Psychiatry Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100217350D
KS
01
110661
PTAN
KS
Enumeration date
12/11/2006
Last updated
12/19/2023
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