Provider Demographics
NPI:1083733729
Name:LIFESKILLS MANAGEMENT CENTER, INC.
Entity Type:Organization
Organization Name:LIFESKILLS MANAGEMENT CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:KHALILI
Authorized Official - Suffix:
Authorized Official - Credentials:PH D
Authorized Official - Phone:913-254-0001
Mailing Address - Street 1:413 E SANTA FE ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-3445
Mailing Address - Country:US
Mailing Address - Phone:913-254-0001
Mailing Address - Fax:913-782-4997
Practice Address - Street 1:413 E SANTA FE ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-3445
Practice Address - Country:US
Practice Address - Phone:913-254-0001
Practice Address - Fax:913-782-4997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health