Organization
FOUR COUNTY MENTAL HEALTH CENTER, INC.
Active
Organization
FOUR COUNTY MENTAL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI LYNN HAYSE (COO)
(620) 331-1748
Entity
Organization
Contact information
Practice address
3354 HIGHWAY 160, INDEPENDENCE, KS 67301-7841
(620) 331-1748
(620) 332-1940
Mailing address
PO BOX 688, INDEPENDENCE, KS 67301-0688
(620) 331-1748
(620) 332-1940
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
03/07/2022
Last updated
03/07/2022
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