| The Satori Program | |
|
901 Kentucky St Ste 306 Lawrence KS 66044-2858 | |
| (816) 377-7398 | |
| (816) 873-1364 |
| Full Name | The Satori Program |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 901 Kentucky St Ste 306, Lawrence, Kansas |
| Authorized Official Name and Position | Reginald C. Jackson (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8163777398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Satori Program 901 Kentucky St Ste 306 Lawrence KS 66044-2858 Ph: (816) 377-7398 | The Satori Program 901 Kentucky St Ste 306 Lawrence KS 66044-2858 Ph: (816) 377-7398 |
| NPI Number | 1154846533 |
|---|---|
| Provider Enumeration Date | 08/07/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154846533 | NPI | - | NPPES |
| 200629810C | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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