Organization
JOHNSON COUNTY MENTAL HEALTH
Active
Parent organization
JOHNSON COUNTY MENTAL HEALTH CENTER
Other names
JCMHC Chronic Care Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHNSON COUNTY MENTAL HEALTH CENTER
Authorized official
LYDIA LONGORIA (QI REPRESENTATIVE)
(913) 826-4200
Entity
Organization
Contact information
Practice address
6440 NIEMAN RD, SHAWNEE, KS 66203-3326
(913) 826-4200
Mailing address
6000 LAMAR AVE STE 130, MISSION, KS 66202-3234
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
08/25/2022
Last updated
07/18/2023
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