Organization
COTTON O'NEIL CLINIC RECOVABLE TRUST
Active
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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