Organization
THE CENTER FOR COUNSELING AND CONSULTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRAICK W STANG MD (CLINICAL DIRECTOR)
(620) 792-2544
Entity
Organization
Contact information
Practice address
5815 BROADWAY AVE, GREAT BEND, KS 67530-3123
(620) 792-2544
(620) 792-7052
Mailing address
5815 BROADWAY AVE, GREAT BEND, KS 67530-3123
(620) 792-2544
(620) 792-7052
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
004
KS
Other
Enumeration date
11/02/2006
Last updated
11/01/2007
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