SUBSTANCE ABUSE ASSESSMENT CTR NPI 1114065489

NPI Information

NPI: 1114065489
Provider Name: SUBSTANCE ABUSE ASSESSMENT CTR
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
731 N WATER ST
STE 2
WICHITA, KS
ZIP 67203
Phone: (316) 267-3825
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SUBSTANCE ABUSE ASSESSMENT CTR is a rehabilitation and substance use disorder clinic center in Wichita, KS. SUBSTANCE ABUSE ASSESSMENT CTR NPI is 1114065489. The provider is registered as an organization entity type.

The provider's business location address is:

731 N WATER ST
STE 2
WICHITA, KS
ZIP 67203-853
Phone: (316) 267-3825
Fax: (316) 267-3843

The provider's authorized official is Harold Casey .
The authorized official title is Ceo and has the following contact phone number (316) 267-3825.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 2/23/2012.

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			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100320580A	MEDICAID	KANSAS

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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