| Mill Creek Outpatient Services | |
|
8787 Ballentine Suite 1200 Overland Park KS 66214 | |
| (913) 339-9933 | |
| (913) 339-9915 |
| Full Name | Mill Creek Outpatient Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8787 Ballentine, Overland Park, Kansas |
| Authorized Official Name and Position | Sherry R Montgomery (PROGRAM DIRECTOR) |
| Authorized Official Contact | 9133399933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mill Creek Outpatient Services 8787 Ballentine Suite 1200 Overland Park KS 66214 Ph: (913) 339-9933 | Mill Creek Outpatient Services 8787 Ballentine Suite 1200 Overland Park KS 66214 Ph: (913) 339-9933 |
| NPI Number | 1336204262 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 07/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336204262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 552 (Kansas) | Primary |
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