ADDICTIVE BEHAVIORAL CHANGE HEALTH GROUP LLC NPI 1003043639

NPI Information

NPI: 1003043639
Provider Name: ADDICTIVE BEHAVIORAL CHANGE HEALTH GROUP LLC

Doing Business As: MATRIX CENTER

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
9918 E. HARRY
WICHITA, KS
ZIP 67207
Phone: (316) 260-3445
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ADDICTIVE BEHAVIORAL CHANGE HEALTH GROUP LLC is a rehabilitation and substance use disorder clinic center in Wichita, KS. ADDICTIVE BEHAVIORAL CHANGE HEALTH GROUP LLC NPI is 1003043639. The provider is registered as an organization entity type.
The provider Is Doing Business As Matrix Center.

The provider's business location address is:

9918 E. HARRY
WICHITA, KS
ZIP 67207-008
Phone: (316) 260-3445
Fax: (316) 260-3445

The provider's authorized official is Steve Goko Kamau .
The authorized official title is Ceo and has the following contact phone number (316) 260-3445.

The enumeration date for this NPI number is 6/22/2009 and was last updated on 7/7/2023.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	07080895	KANSAS	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: 4/28/2024

NPI Synchronization or Removal

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