Provider Demographics
NPI:1124166962
Name:COWLEY COUNTY DEVELOPMENTAL SERVICES, INC.
Entity type:Organization
Organization Name:COWLEY COUNTY DEVELOPMENTAL SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DARCIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DARBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-442-5270
Mailing Address - Street 1:824 W MADISON AVE
Mailing Address - Street 2:P.O. BOX 618
Mailing Address - City:ARKANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67005-3036
Mailing Address - Country:US
Mailing Address - Phone:620-442-5270
Mailing Address - Fax:
Practice Address - Street 1:824 W MADISON AVE
Practice Address - Street 2:
Practice Address - City:ARKANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:67005-3036
Practice Address - Country:US
Practice Address - Phone:620-442-5270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management