Organization
CORTERRA OF WICHITA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK HATTEN (CEO/CHAIRMAN)
(316) 640-8427
Entity
Organization
Contact information
Practice address
7447 W VILLAGE CIR, WICHITA, KS 67205
(316) 637-2889
(316) 368-3177
Mailing address
7447 W VILLAGE CIR, WICHITA, KS 67205
(316) 637-2889
(316) 368-3177
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30005101960001
—
KS
Enumeration date
11/15/2022
Last updated
12/09/2024
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