Organization
KANZA MENTAL HEALTH AND GUIDANCE CENTER ALCOHOL AND DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L ELSBURY LMLP (CEO)
(785) 742-7443
Entity
Organization
Contact information
Practice address
909 S 2ND ST, HIAWATHA, KS 66434-2774
(785) 742-7133
(785) 742-3085
Mailing address
909 S 2ND ST, PO BOX 319, HIAWATHA, KS 66434-2774
(785) 742-7133
(785) 742-3085
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
013
KS
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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