OrganizationActive
At Provider Group of Kansas PA
NPI 1912777046 · Substance Use Disorder Rehabilitation Clinic/Center · Overland Park, KS
Provider details
- NPI number
- 1912777046
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Karla Mullings, Director of Compliance(834) 769-8758
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Practice location
9393 W 110th St Ste 500
Overland Park, KS 66210-1464
Phone: (845) 769-8758
Approximate (ZIP-level) locationGet directions
Mailing address
1640 Boro Pl Fl 4
Mc Lean, VA 22102-3627
Registry dates
- Enumerated
- 2024-01-09
- Last updated
- 2024-01-09
- Certified
- 2024-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.