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1910 Haskell Avenue, Suite 9 Obot Room #100 Lawrence KS 66046-3296 | |
| (785) 856-4357 | |
| (785) 856-1127 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 1910 Haskell Avenue, Suite 9, Lawrence, Kansas |
| Authorized Official Name and Position | Jay Higham (CEO) |
| Authorized Official Contact | 2143656112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5001 Spring Valley Road Suite 600 East Dallas TX 75244-3946 Ph: (214) 365-6100 | 1910 Haskell Avenue, Suite 9 Obot Room #100 Lawrence KS 66046-3296 Ph: (785) 856-4357 |
| NPI Number | 1154035236 |
|---|---|
| Provider Enumeration Date | 01/12/2023 |
| Last Update Date | 12/26/2024 |
| Certification Date | 12/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154035236 | NPI | - | NPPES |
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