Provider Demographics
NPI:1164651246
Name:MID WEST TREATMENT AND RECOVEY
Entity Type:Organization
Organization Name:MID WEST TREATMENT AND RECOVEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAMAY
Authorized Official - Middle Name:M
Authorized Official - Last Name:WEBBER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, CADC1
Authorized Official - Phone:785-554-8849
Mailing Address - Street 1:PO BOX 5716
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66605-0716
Mailing Address - Country:US
Mailing Address - Phone:785-554-8849
Mailing Address - Fax:
Practice Address - Street 1:1921 SE INDIANA AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66607-1425
Practice Address - Country:US
Practice Address - Phone:785-554-8849
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-09
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)