Agape, Revelation Alcohol And Drug Faith Based Services At Central Kan | |
2100 Broadway Ave Great Bend KS 67530-4024 | |
(620) 282-4014 | |
(620) 603-6476 |
Full Name | Agape, Revelation Alcohol And Drug Faith Based Services At Central Kan |
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Speciality | Community/behavioral Health |
Location | 2100 Broadway Ave, Great Bend, Kansas |
Authorized Official Name and Position | Kimberly Kay Becker (DIRECTOR) |
Authorized Official Contact | 6202824014 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Agape, Revelation Alcohol And Drug Faith Based Services At Central Kan 2100 Broadway Ave Great Bend KS 67530-4024 Ph: (620) 282-4014 | Agape, Revelation Alcohol And Drug Faith Based Services At Central Kan 2100 Broadway Ave Great Bend KS 67530-4024 Ph: (620) 282-4014 |
NPI Number | 1477964849 |
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Provider Enumeration Date | 05/19/2014 |
Last Update Date | 05/19/2014 |
Identifier | Type | State | Issuer |
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1477964849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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