Organization
ALCOHOL AND DRUG SERVICES
Active
Organization
ALCOHOL AND DRUG SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE DALEN M.S., NCAC I, LCAC (PRESIDENT)
(913) 722-3866
Entity
Organization
Contact information
Practice address
6005 MARTWAY ST, STE. 102, MISSION, KS 66202-3374
(913) 722-3866
(913) 722-3867
Mailing address
6005 MARTWAY, STE. 102, MISSION, KS 66202
(913) 722-3866
(913) 722-3867
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
01160092
KS
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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