Change Your Life Enterprises, Inc. in Wichita - Rehabilitation, Substance Use Disorder
Change Your Life Enterprises, Inc. - NPI 1003895988
Change Your Life Enterprises, Inc. is a Rehabilitation, Substance Use Disorder in Wichita, Kansas. Change Your Life Enterprises, Inc. practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Change Your Life Enterprises, Inc. is 1003895988. The last update date is 2011-07-15.
Change Your Life Enterprises, Inc.'s current location address is 9505 W. Central, Wichita, Kansas. You can contact this provider via phone number 3167210971 and fax number 3165124070. The mailing address for Change Your Life Enterprises, Inc. is 9505 W. Central, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Change Your Life Enterprises, Inc. |
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Address | 9505 W. Central, Wichita, Kansas |
Phone Number | 3167210971 |
Fax Number | 3165124070 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT/ |
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Authorized Official Name | Roberts Ann Stephenie |
Credentials | LSCSW |
Telephone Number | 3167210971 |
NPI Number Detail
NPI Number | 1003895988 |
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Provider Enumeration Date | 2006-01-10 |
Last Updated Date | 2011-07-15 |
Provider Mailing Address Detail
Address | 9505 W. Central |
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City | Wichita |
State | Kansas (KS) |
Post Code | 672123832 |
Phone Number | 3167210971 |
Fax Number | 3165124070 |
Provider's Primary Taxonomy Detail
Speciality | Rehabilitation, Substance Use Disorder |
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Taxonomy | 261Qr0405X |
Licence No | 547 |
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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565012 | KS | -- |
Post Comment/ Review Below
What is the Change Your Life Enterprises, Inc.'s 1003895988?
The Change Your Life Enterprises, Inc.'s NPI (National Provider Identifier) Number is 1003895988. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Change Your Life Enterprises, Inc.'s facilities are situated?
The facilities of Change Your Life Enterprises, Inc. are physically located at the following address: 9505 W. Central, Wichita, KS, 672123832.
What is Change Your Life Enterprises, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Change Your Life Enterprises, Inc. is Rehabilitation, Substance Use Disorder, and the taxonomy classification code that categorizes this area of expertise is 261Qr0405X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003895988 to Change Your Life Enterprises, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1003895988 to Change Your Life Enterprises, Inc. on 2006-01-10.
When was the information regarding Change Your Life Enterprises, Inc. most recently updated?
The details pertaining to the Change Your Life Enterprises, Inc., including its address, specialty, and other relevant information, were last refreshed on 2011-07-15.