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Organization

PEERLINK PREMIER PATHWAYS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA M RUPERT (OWNER/OPERATOR)
(316) 665-0311
Entity
Organization

Contact information

Practice address
1209 PARKWOOD LN, NEWTON, KS 67114-4837
(316) 665-0311
Mailing address
1209 PARKWOOD LN, NEWTON, KS 67114-4837
(316) 665-0311

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
104100000X
Social Worker
1041C0700X
Clinical Social Worker
175T00000X
Peer Specialist
Primary
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
02/19/2025
Last updated
02/19/2025
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