Lakemary Center

NPI #1992060347 in Paola, Kansas

Provider Information

NPI Number: 1992060347
Entity Type: Organization
Organization Name: Lakemary Center
Primary Specialty: Psychiatric Residential Treatment Facility
Enumeration Date: Jul 11, 2012
Last Updated: Jul 11, 2012

Practice Location

Address: 100 LAKEMARY DR
City: Paola
State: Kansas
ZIP Code: 66071-1855
Phone: (913) 557-4000

Authorized Official

Name: DR. COURTNIE L. CAIN, LP
Title: PRTF CLINICAL PROGRAM COORDINATOR
Phone: (913) 557-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatric Residential Treatment Facility	323P00000X	Primary

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