Provider Demographics
NPI:1760946909
Name:KANSAS CENTER FOR COUPLES AND FAMILIES
Entity Type:Organization
Organization Name:KANSAS CENTER FOR COUPLES AND FAMILIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOZZOLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-213-7418
Mailing Address - Street 1:10975 BENSON DR STE 390
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2120
Mailing Address - Country:US
Mailing Address - Phone:913-213-7418
Mailing Address - Fax:
Practice Address - Street 1:10975 BENSON DR STE 390
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2120
Practice Address - Country:US
Practice Address - Phone:913-213-7418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-22
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty