Organization
SMOKY HILL FOUNDATION FOR CHEMICAL DEPENDENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY UKELE BA, AAPS (TREATMENT DIRECTOR)
(785) 625-5521
Entity
Organization
Contact information
Practice address
2714 PLAZA AVE, HAYS, KS 67601-1912
(785) 625-5521
Mailing address
2714 PLAZA AVE, HAYS, KS 67601-1912
(785) 625-5521
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100328020A
—
KS
01
—
SM004980
BLUE CROSS/BLUE SHIELD
KS
Enumeration date
06/04/2006
Last updated
01/22/2013
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