SUMMIT RANCH LLC

SHAWNEE, KS
NPI1306561147
Entity TypeOrganization
Authorized ContactADRIA ESTES
Billing And Credentialing Mgr
208-269-0689
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-10-04
Last Update Date2022-10-04
Business Address
SUMMIT RANCH LLC
18555 JOHNSON DR
SHAWNEE, KS 66217-8206
Phone number: 913-215-2438
Mailing Address
SUMMIT RANCH LLC
18555 JOHNSON DR STE 119
SHAWNEE, KS 66217-8206
Phone number: 913-215-2438