| Brookside Mental Health & Family Services | |
|
3601 Sw 29th St Suite 217 Topeka KS 66614-2078 | |
| (785) 272-8808 | |
| (785) 272-0814 |
| Full Name | Brookside Mental Health & Family Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3601 Sw 29th St, Topeka, Kansas |
| Authorized Official Name and Position | Mary Ann Dugan (SOCIAL WORKER) |
| Authorized Official Contact | 7852728808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookside Mental Health & Family Services 3601 Sw 29th St Suite 217 Topeka KS 66614-2078 Ph: (785) 272-8808 | Brookside Mental Health & Family Services 3601 Sw 29th St Suite 217 Topeka KS 66614-2078 Ph: (785) 272-8808 |
| NPI Number | 1245206846 |
|---|---|
| Provider Enumeration Date | 02/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245206846 | NPI | - | NPPES |
| 41081 | Other | KS | GROUP- BC/BS |
| 41083 | Other | KS | BILLING PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1176 (Kansas) | Primary |
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