Substance Abuse Assessment Ctr in Wichita - Rehabilitation, Substance Use Disorder

Substance Abuse Assessment Ctr - NPI 1114065489

Substance Abuse Assessment Ctr is a Rehabilitation, Substance Use Disorder in Wichita, Kansas. Substance Abuse Assessment Ctr practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Substance Abuse Assessment Ctr is 1114065489. The last update date is 2012-02-23.

Substance Abuse Assessment Ctr's current location address is 731 N Water St, Wichita, Kansas. You can contact this provider via phone number 3162673825 and fax number 3162673843. The mailing address for Substance Abuse Assessment Ctr is 731 N Water St, Wichita, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Substance Abuse Assessment Ctr
Address 731 N Water St, Wichita, Kansas
Phone Number 3162673825
Fax Number 3162673843
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Casey Harold
Credentials BA-LAC
Telephone Number 3162673825

NPI Number Detail

NPI Number 1114065489
Provider Enumeration Date 2007-02-01
Last Updated Date 2012-02-23

Provider Mailing Address Detail

Address 731 N Water St
City Wichita
State Kansas (KS)
Post Code 672033853
Phone Number 3162673825
Fax Number 3162673843

Provider's Primary Taxonomy Detail

Speciality Rehabilitation, Substance Use Disorder
Taxonomy 261Qr0405X
Definition:
Provides therapeutic interventions to treat alcohol and drug addiction.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100320580A KS --

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FAQs about Substance Abuse Assessment Ctr

What is the unique identifier code issued to Substance Abuse Assessment Ctr by the Centers for Medicare & Medicaid Services (CMS)?

The Substance Abuse Assessment Ctr has been assigned the NPI (National Provider Identifier) 1114065489. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Substance Abuse Assessment Ctr's physical address?

The Substance Abuse Assessment Ctr is physically located at 731 N Water St, in the city of Wichita, KS, with the postal code 672033853.

What is Substance Abuse Assessment Ctr's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Substance Abuse Assessment Ctr is Rehabilitation, Substance Use Disorder, and the taxonomy code that classifies this field of practice is 261Qr0405X.

When did the Substance Abuse Assessment Ctr receive its 1114065489?

The Substance Abuse Assessment Ctr was issued its 1114065489 on 2007-02-01, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Substance Abuse Assessment Ctr, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Substance Abuse Assessment Ctr, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-02-23.

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