Provider Demographics
NPI:1235838392
Name:C&M PSYCHIATRIC SERVICES LLC
Entity Type:Organization
Organization Name:C&M PSYCHIATRIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CADE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:913-308-8495
Mailing Address - Street 1:1201 WAKARUSA DR STE E1
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-1892
Mailing Address - Country:US
Mailing Address - Phone:913-308-8495
Mailing Address - Fax:
Practice Address - Street 1:1201 WAKARUSA DR STE E1
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-1892
Practice Address - Country:US
Practice Address - Phone:785-505-0560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2023-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty