State of Kansas
NPI #1114920980 in Kansas City, Kansas
Provider Information
- NPI Number
- 1114920980
- Entity Type
- Organization
- Organization Name
- State of Kansas
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STATE OF KANSAS DBA RAINBOW MENTAL HEALTH FACILITY
- Primary Specialty
- Psychiatric Hospital
- Enumeration Date
- May 24, 2005
- Last Updated
- Jul 30, 2012
Practice Location
- Address
- 2205 WEST 36TH AVE
- City
- Kansas City
- State
- Kansas
- ZIP Code
- 66103-2198
- Phone
- (913) 789-5800
Authorized Official
- Name
- MR. STEVEN D. ASHCRAFT
- Title
- SUPERINTENDENT
- Phone
- (913) 755-7073
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Hospital |
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