Organization
MUTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARITY A MUTH MS,LPC,LCAC (OWNER)
(620) 617-5497
Entity
Organization
Contact information
Practice address
1916 16TH ST, GREAT BEND, KS 67530-4001
(620) 792-5405
Mailing address
1842 CR 370 RD, ALBERT, KS 67511
(620) 617-5497
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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