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General NPI Number Information
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NPI Number | 1053986315
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Entity Type | Organization
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Legal Business Name | MENTAL WELLNESS KS, INC
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 502 N CERRITOS DR
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City | PALM SPRINGS
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State | CA
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Zip | 92262-6228
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Country | US
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Telephone | 888-312-4262
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 E TAHQUITZ CANYON WAY STE B1
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City | PALM SPRINGS
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State | CA
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Zip | 92262-7061
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Country | US
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Telephone | 888-312-4262
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ERIC MCLAUGHLIN
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Credential |
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Telephone | 323-401-3660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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