Organization
DERBY RECOVERY CENTER, INC
Active
Organization
DERBY RECOVERY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN K KELLEY (PRESIDENT/EXEC DIRECTOR)
(316) 788-1800
Entity
Organization
Contact information
Practice address
1721 E OSAGE RD, SUITE 200, DERBY, KS 67037-2092
(316) 788-1800
(316) 788-1815
Mailing address
1721 E OSAGE RD, SUITE 200, DERBY, KS 67037-2092
(316) 788-1800
(316) 788-1815
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
07090900
KS
Other
Enumeration date
04/21/2009
Last updated
04/30/2009
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