Provider Demographics
NPI:1093951147
Name:KANSAS TREATMENT SERVICS, LLC
Entity Type:Organization
Organization Name:KANSAS TREATMENT SERVICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:F
Authorized Official - Last Name:MINNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-269-1395
Mailing Address - Street 1:1125 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66101-2305
Mailing Address - Country:US
Mailing Address - Phone:913-342-0888
Mailing Address - Fax:913-342-2644
Practice Address - Street 1:1125 N 5TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66101-2305
Practice Address - Country:US
Practice Address - Phone:913-342-0888
Practice Address - Fax:913-342-2644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-19
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health