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1306561147
SUMMIT RANCH LLC
SHAWNEE, KS
NPI
1306561147
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Entity Type
Organization
Authorized Contact
ADRIA ESTES
Billing And Credentialing Mgr
208-269-0689
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-10-04
Last Update Date
2022-10-04
Business Address
SUMMIT RANCH LLC
18555 JOHNSON DR
SHAWNEE, KS 66217-8206
Phone number: 913-215-2438
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Mailing Address
SUMMIT RANCH LLC
18555 JOHNSON DR STE 119
SHAWNEE, KS 66217-8206
Phone number: 913-215-2438
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