| Shunga Creek Mental Health | |
|
5040 Sw 28th St Topeka KS 66614-2302 | |
| (785) 273-6200 | |
| Not Available |
| Full Name | Shunga Creek Mental Health |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5040 Sw 28th St, Topeka, Kansas |
| Authorized Official Name and Position | Deberah M Snodgrass (OFFICE MANAGER) |
| Authorized Official Contact | 7852736200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shunga Creek Mental Health 5040 Sw 28th St Topeka KS 66614-2302 Ph: (785) 273-6200 | Shunga Creek Mental Health 5040 Sw 28th St Topeka KS 66614-2302 Ph: (785) 273-6200 |
| NPI Number | 1093249773 |
|---|---|
| Provider Enumeration Date | 04/19/2017 |
| Last Update Date | 04/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093249773 | NPI | - | NPPES |
| 165192 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | KS 0147 (Kansas) | Primary |
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