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Organization

GOLD BRIDGE TREATMENT CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH HAMMER (DIRECTOR)
(913) 481-9389
Entity
Organization

Contact information

Practice address
105 E AMITY ST, LOUISBURG, KS 66053-4076
(913) 837-4653
Mailing address
105 E AMITY ST, LOUISBURG, KS 66053-4076

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
06/03/2020
Last updated
06/03/2020
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