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NPI Code Detail

MEDICARE: WYANDOT CENTER FOR COMMUNITY BEHAVIORAL HEALTHCARE, INC.

MEDICARE: WYANDOT CENTER FOR COMMUNITY BEHAVIORAL HEALTHCARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyNO NUMBERKS

Other Identifiers

General Provider Information

NPI Number : 1679615025
Entity Type Code : Organization
Provider Name (Legal Business Name) : WYANDOT CENTER FOR COMMUNITY BEHAVIORAL HEALTHCARE, INC.
Provider Business Mailing Address
First Line : 757 ARMSTRONG AVE
Second Line :
City : KANSAS CITY
State : KS
Zip : 66101-2701
Country : US
Telephone Number : 913-233-3315
Fax Number : 913-233-3390
Provider Business Practice Location Address
First Line : 7840 WASHINGTON
Second Line :
City : KANSAS CITY
State : KS
Zip : 66112-2152
Country : US
Telephone Number : 913-328-4600
Fax Number : 913-233-3350
Authorized Official
Title or Position : CFO
Name : DEBORAH MAIWALD
Credential :
Telephone Number : 913-233-3300
Provider Enumeration Date : 02/13/2007
Last Update Date : 03/18/2026

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Directions to “WYANDOT CENTER FOR COMMUNITY BEHAVIORAL HEALTHCARE, INC. ” Practice Location

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