Organization
MIDWEST SUPPORT & INFORMATION SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY D DRENNER (DIRECTOR)
(785) 460-1896
Entity
Organization
Contact information
Practice address
640 N FRANKLIN AVE, COLBY, KS 67701-2329
(785) 460-1896
(785) 460-1897
Mailing address
640 N FRANKLIN AVE, COLBY, KS 67701-2329
(785) 460-1896
(785) 460-1897
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
3914
KS
251S00000X
Community/Behavioral Health Agency
Primary
3914
KS
252Y00000X
Early Intervention Provider Agency
3914
KS
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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