OrganizationActive
Alcohol and Drug Services
NPI 1881989150 · Early Intervention Provider Agency · Mission, KS
Provider details
- NPI number
- 1881989150
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mike Dalen, President(913) 722-3866
- License
- 01160092 (KS)
Specialties & taxonomies
Agencies
Practice location
6005 Martway St
Ste. 102
Mission, KS 66202-3374
Phone: (913) 722-3866
Fax: (913) 722-3867
Approximate (ZIP-level) locationGet directions
Mailing address
6005 Martway
Mission, KS 66202
Registry dates
- Enumerated
- 2011-06-15
- Last updated
- 2011-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.