Organization
LAKEMARY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNIE L. CAIN LP (PRTF CLINICAL PROGRAM COORDINATOR)
(913) 557-4000
Entity
Organization
Contact information
Practice address
100 LAKEMARY DR, PAOLA, KS 66071-1855
(913) 557-4000
(913) 557-4910
Mailing address
100 LAKEMARY DR, PAOLA, KS 66071-1855
(913) 557-4000
(913) 557-4910
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
2205
KS
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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