Johnson County Developmental Supports

NPI #1215158233 in Lenexa, Kansas

Provider Information

NPI Number: 1215158233
Entity Type: Organization
Organization Name: Johnson County Developmental Supports
Primary Specialty: Case Management
Enumeration Date: May 1, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 10501 LACKMAN RD
City: Lenexa
State: Kansas
ZIP Code: 66219-1223
Phone: (913) 826-2626

Authorized Official

Name: MRS. KARLA J GRAVENSTEIN
Title: FINANCIAL MANAGER
Phone: (913) 826-2638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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