CENTER FOR CHANGE LLC NPI 1093349813

NPI Information

NPI: 1093349813
Provider Name: CENTER FOR CHANGE LLC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
933 N TOPEKA ST
WICHITA, KS
ZIP 67214
Phone: (316) 201-1234
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CENTER FOR CHANGE LLC is an addiction medicine family medicine in Wichita, KS. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. CENTER FOR CHANGE LLC NPI is 1093349813. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

933 N TOPEKA ST
WICHITA, KS
ZIP 67214-620
Phone: (316) 201-1234
Fax: (316) 201-1673

The provider's authorized official is Gregory Lakin .
The authorized official title is Medical Director/authorized Offcial and has the following contact phone number (316) 640-0601.

The enumeration date for this NPI number is 3/2/2020 and was last updated on 10/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0401X	Family Medicine	Addiction Medicine			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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