Organization
DMP SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOLENE M WHITEHAIR SOCIAL WORKER (OWNER)
(785) 625-8885
Entity
Organization
Contact information
Practice address
1715 MARJORIE DRIVE, HAYS, KS 67601-2643
(785) 625-8885
Mailing address
108 W 34TH ST, HAYS, KS 67601-1629
(785) 625-8885
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200258830A
—
KS
Enumeration date
11/20/2006
Last updated
08/04/2008
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