Avenaim & Associates | |
25360 Crestview Dr Paola KS 66071-1305 | |
(913) 486-0364 | |
Not Available |
Full Name | Avenaim & Associates |
---|---|
Speciality | Community/behavioral Health |
Location | 25360 Crestview Dr, Paola, Kansas |
Authorized Official Name and Position | Dan Avenaim (PRESIDENT) |
Authorized Official Contact | 9134860364 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Avenaim & Associates 25360 Crestview Dr Paola KS 66071-1305 Ph: (913) 486-0364 | Avenaim & Associates 25360 Crestview Dr Paola KS 66071-1305 Ph: (913) 486-0364 |
NPI Number | 1114150943 |
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Provider Enumeration Date | 08/27/2009 |
Last Update Date | 08/27/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114150943 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 2065 (Kansas) | Primary |
251S00000X | Community/behavioral Health | 1047 (Kansas) | Secondary |
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