Organization
COGNITIVE CARE OF KANSAS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW LEDDY SMALL MSW (PRESIDENT)
(316) 258-1661
Entity
Organization
Contact information
Practice address
1430 N GLANCEY ST, ANDOVER, KS 67002-7411
(316) 258-1661
Mailing address
1430 N GLANCEY ST, ANDOVER, KS 67002-7411
(316) 258-1661
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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