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Freedom Gates Boys Ranch
Adolescent and Children Mental Health Clinic/Center in Hazelton, Kansas
NPI 1639807324

Freedom Gates Boys Ranch is an Adolescent and Children Mental Health Clinic/Center based in Kiowa, KS and is specialized in Adolescent and Children Mental Health. Freedom Gates Boys Ranch practices in Hazelton, KS. The NPI Number for Freedom Gates Boys Ranch is 1639807324 and holds a License No. (Kansas).

The current practice location address for Freedom Gates Boys Ranch is 304 N Church St, Hazelton, KS and can be reached out via phone at 620-239-4031 and via fax at 620-239-4032.

Location: 304 N Church St, Hazelton, KS, 67070-0103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639807324
Provider Name
Freedom Gates Boys Ranch
Credential
Provider Entity Type
Organization
Address
304 N Church St, Hazelton, KS, 67070-0103
Phone Number
620-239-4031
Fax Number
620-239-4032
Provider Enumeration Date
08/10/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1548479223 05 OK
institution
Provider Business Practice Location Address Details
Address
304 N Church St
City
Hazelton
State
Kansas
Zip
67061-9300
Phone Number
620-239-4031
Fax Number
620-239-4032
person
Provider Business Mailing Address Details
Address
304 N Church St
City
Hazelton
State
Kansas
Zip
67061-9300
Phone Number
620-239-4031
Fax Number
620-239-4032
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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