Organization
ENABLED HEARTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE A DURAN (OWNER)
(785) 267-7245
Entity
Organization
Contact information
Practice address
3523 SE LONG ST, TOPEKA, KS 66605-2443
(785) 267-7245
Mailing address
3523 SE LONG ST, TOPEKA, KS 66605-2443
(785) 267-7245
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
200264860A
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200264860A
—
KS
Enumeration date
11/06/2013
Last updated
11/06/2013
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