Organization
25TH JUDICIAL DISTRICT YOUTH SERVICES
Active
Organization
25TH JUDICIAL DISTRICT YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE K. WRIGHT (DIRECTOR)
(620) 271-6200
Entity
Organization
Contact information
Practice address
2701 N 11TH ST, GARDEN CITY, KS 67846-2715
(620) 271-6200
(620) 271-6260
Mailing address
2701 N 11TH ST, GARDEN CITY, KS 67846-2715
(620) 271-6200
(620) 271-6260
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097870C
—
KS
01
—
116040
BLUE CROSS BLUE SHIELD
KS
Enumeration date
04/12/2007
Last updated
06/13/2008
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