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Organization

IROQUOIS CENTER FOR HUMAN DEVELOPMENT, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES SHELDON CARPENTER LMLP, LCP (EXECUTIVE DIRECTOR)
(620) 723-2272
Entity
Organization

Contact information

Practice address
610 E GRANT AVE, GREENSBURG, KS 67054-2708
(620) 723-2272
(620) 723-3450
Mailing address
610 E GRANT AVE, GREENSBURG, KS 67054-2708
(620) 723-2272
(620) 723-3450

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100098110A
KS
05
100098110B
KS
Enumeration date
05/24/2005
Last updated
08/22/2020
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