| Tava Clinical Services Of Kansas, Pa | |
|
801 E Douglas Ave Wichita KS 67202-3548 | |
| (316) 867-9302 | |
| (801) 992-8269 |
| Full Name | Tava Clinical Services Of Kansas, Pa |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 801 E Douglas Ave, Wichita, Kansas |
| Authorized Official Name and Position | Dallen Allred (CEO) |
| Authorized Official Contact | 3854062869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tava Clinical Services Of Kansas, Pa Po Box 581406 Salt Lake City UT 84158-1406 Ph: (385) 406-2867 | Tava Clinical Services Of Kansas, Pa 801 E Douglas Ave Wichita KS 67202-3548 Ph: (316) 867-9302 |
| NPI Number | 1437937331 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 09/20/2023 |
| Certification Date | 09/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437937331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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