Organization
LAKEMARY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE ERICKSON (CFO)
(913) 533-7280
Entity
Organization
Contact information
Practice address
100 LAKEMARY DR, PAOLA, KS 66071-1855
(913) 557-4000
(913) 557-4910
Mailing address
100 LAKEMARY DR, PAOLA, KS 66071-1855
(913) 557-4000
(913) 557-4910
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
0003188-008
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100102750G
—
KS
05
—
100102750I
—
KS
Enumeration date
02/21/2006
Last updated
05/05/2025
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