Elm Acres Recovery Youth Services | |
1002 E Madison St Pittsburg KS 66762-6023 | |
(620) 231-6129 | |
(620) 231-0447 |
Full Name | Elm Acres Recovery Youth Services |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1002 E Madison St, Pittsburg, Kansas |
Authorized Official Name and Position | Kerye J Jackson (CFO) |
Authorized Official Contact | 7858414138 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elm Acres Recovery Youth Services 3312 Clinton Pkwy Lawrence KS 66047-3624 Ph: (785) 841-4138 | Elm Acres Recovery Youth Services 1002 E Madison St Pittsburg KS 66762-6023 Ph: (620) 231-6129 |
NPI Number | 1821117391 |
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Provider Enumeration Date | 03/28/2007 |
Last Update Date | 05/27/2020 |
Certification Date | 05/27/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821117391 | NPI | - | NPPES |
100106740O | Medicaid | KS | |
1534 | Other | KS | BLUE CROSS BLUE SHIELD |
5245784 | Other | KS | UNITED BEHAVIORAL HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 052 (Kansas) | Primary |
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Psychiatric Associates Of Pittsburg Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 S Mount Carmel Pl, Pittsburg, KS 66762 Phone: 620-232-2270 Fax: 620-231-1378 | |
Life Center Organization Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 W Washington St, Pittsburg, KS 66762 Phone: 620-875-6604 | |
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