| Willow Tree, Llc | |
|
4922 Oak Hill Dr Neodesha KS 66757-1790 | |
| (620) 325-3187 | |
| Not Available |
| Full Name | Willow Tree, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4922 Oak Hill Dr, Neodesha, Kansas |
| Authorized Official Name and Position | Connie B. Hudson (OWNER) |
| Authorized Official Contact | 6203253187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Tree, Llc 4922 Oak Hill Dr Neodesha KS 66757-1790 Ph: (620) 325-3187 | Willow Tree, Llc 4922 Oak Hill Dr Neodesha KS 66757-1790 Ph: (620) 325-3187 |
| NPI Number | 1346405529 |
|---|---|
| Provider Enumeration Date | 07/27/2008 |
| Last Update Date | 07/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346405529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2450 (Kansas) | Primary |
Road To Recovery Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 613 Main St, Neodesha, KS 66757 Phone: 620-325-5222 Fax: 620-325-5222 |