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Organization

FOUR COUNTY MENTAL HEALTH CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREG HENNEN (EXECUTIVE DIRECTOR)
(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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100097980B
KS
Enumeration date
10/17/2006
Last updated
04/29/2022
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