NPI: 1003895988
Provider Name: CHANGE YOUR LIFE ENTERPRISES, INC.
Doing Business As: ADAPT, GRIP & STEPHENIE ROBERTS, LSCSW
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
9505 W. CENTRAL
STE. 103
WICHITA, KS
ZIP 67212
Phone: (316) 721-0971
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CHANGE YOUR LIFE ENTERPRISES, INC. is a rehabilitation and substance use disorder clinic center in Wichita, KS. CHANGE YOUR LIFE ENTERPRISES, INC. NPI is 1003895988. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Adapt, Grip & Stephenie Roberts, Lscsw.
The provider's business location address is:
9505 W. CENTRAL
STE. 103
WICHITA, KS
ZIP 67212-832
Phone: (316) 721-0971
Fax: (316) 512-4070
The provider's authorized official is Stephenie Ann Roberts .
The authorized official title is President/owner and has the following contact phone number (316) 721-0971.
The enumeration date for this NPI number is 1/10/2006 and was last updated on 7/15/2011.