Organization
BERT NASH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE SNOW (ACCREDIATION SPECICALIST)
(785) 843-9192
Entity
Organization
Contact information
Practice address
200 MAINE ST, LAWRENCE, KS 66044-1368
(785) 843-9192
Mailing address
200 MAINE ST, LAWRENCE, KS 66044-1368
(785) 843-9192
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7876
KS
Other
Enumeration date
11/16/2014
Last updated
11/16/2014
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