Organization
KINGS CAMP INC
Active
Other names
Kings Achievement Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOROTHY M PAASCH (OFFICE MANAGER)
(316) 794-2913
Entity
Organization
Contact information
Practice address
24401 W MACARTHUR RD, GODDARD, KS 67052-8713
(316) 794-2913
(319) 794-2773
Mailing address
PO BOX 215, GODDARD, KS 67052-0215
(316) 794-2913
(316) 794-2773
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
36366002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103575
BLUE CROSS & BLUE SHIELD
KS
Enumeration date
02/28/2006
Last updated
08/22/2020
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