Organization
CAMELOT OF KANSAS, LLC
Active
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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