Organization
PRIME HEALTHCARE SERVICES - SAINT JOHN LEAVENWORTH LLC
Active
Other names
Saint John Leavenworth Psychiatric Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS LEON MD (PRESIDENT OF OPERATIONS II)
(909) 235-4362
Entity
Organization
Contact information
Practice address
3500 S 4TH ST, LEAVENWORTH, KS 66048-5043
(909) 235-4362
(909) 235-4418
Mailing address
3500 S 4TH ST, LEAVENWORTH, KS 66048-5043
(909) 235-4362
(909) 235-4418
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
KS
Other
Enumeration date
04/09/2013
Last updated
07/01/2013
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