| Higher Ground And/or Hg Behavioral Health | |
|
2301 E Douglas Ave Wichita KS 67211-1613 | |
| (316) 262-2060 | |
| (316) 262-2740 |
| Full Name | Higher Ground And/or Hg Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2301 E Douglas Ave, Wichita, Kansas |
| Authorized Official Name and Position | Mary San Martin (EXECUTIVE DIRECTOR/CEO) |
| Authorized Official Contact | 3162622060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Higher Ground And/or Hg Behavioral Health 247 N Market St Wichita KS 67202-2003 Ph: (316) 262-2060 | Higher Ground And/or Hg Behavioral Health 2301 E Douglas Ave Wichita KS 67211-1613 Ph: (316) 262-2060 |
| NPI Number | 1134462385 |
|---|---|
| Provider Enumeration Date | 04/05/2013 |
| Last Update Date | 04/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134462385 | NPI | - | NPPES |
| 100371160C | Medicaid | KS | |
| 100371160A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 04120388 (Kansas) | Primary |
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