Provider Demographics
NPI:1699049312
Name:GADUGI SAFECENTER, INC.
Entity type:Organization
Organization Name:GADUGI SAFECENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:RUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:785-843-8985
Mailing Address - Street 1:2518 RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66046-4079
Mailing Address - Country:US
Mailing Address - Phone:785-843-8985
Mailing Address - Fax:785-843-3728
Practice Address - Street 1:2518 RIDGE CT
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66046-4079
Practice Address - Country:US
Practice Address - Phone:785-843-8985
Practice Address - Fax:785-843-3728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-27
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health