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Organization

CAMELOT OF KANSAS, LLC

Active
Other names
Lakeside Academy
Organization subpart
No

Provider details

NPI number
Authorized official
GRAYSON HARCOURT (BUSINESS OFFICE DIRECTOR)
(512) 858-9900
Entity
Organization

Contact information

Practice address
24401 W MACARTHUR RD, GODDARD, KS 67052-8713
(316) 794-2760
Mailing address
4207 E HIGHWAY 290, DRIPPING SPRINGS, TX 78620-4206
(512) 858-9900

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/27/2008
Last updated
05/27/2008
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