| Chautauqua Counseling Cener, Inc. | |
|
5960 Dearborn St Suite 1 Mission KS 66202-3316 | |
| (913) 362-6614 | |
| (913) 362-6614 |
| Full Name | Chautauqua Counseling Cener, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5960 Dearborn St, Mission, Kansas |
| Authorized Official Name and Position | Thomas D Holtgrewe (PROGRAM DIRECTOR) |
| Authorized Official Contact | 9136456652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chautauqua Counseling Cener, Inc. 5960 Dearborn St Suite 1 Mission KS 66202-3316 Ph: (913) 362-6614 | Chautauqua Counseling Cener, Inc. 5960 Dearborn St Suite 1 Mission KS 66202-3316 Ph: (913) 362-6614 |
| NPI Number | 1841402203 |
|---|---|
| Provider Enumeration Date | 05/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841402203 | NPI | - | NPPES |
| 32788013 | Other | MO | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 530 (Kansas) | Primary |
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