| Life Center Organization | |
|
122 W Washington St Pittsburg KS 66762-5153 | |
| (620) 875-6604 | |
| Not Available |
| Full Name | Life Center Organization |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 122 W Washington St, Pittsburg, Kansas |
| Authorized Official Name and Position | Dusty Harryman (PRESIDENT/FOUNDER) |
| Authorized Official Contact | 6208756604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Center Organization 122 W Washington St Pittsburg KS 66762-5153 Ph: (620) 875-6604 | Life Center Organization 122 W Washington St Pittsburg KS 66762-5153 Ph: (620) 875-6604 |
| NPI Number | 1184465619 |
|---|---|
| Provider Enumeration Date | 06/06/2024 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184465619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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