| 409 Addiction Treatment Inc | |
|
409 Nw 3rd St Ste A Abilene KS 67410-2639 | |
| (785) 571-0482 | |
| (785) 571-0222 |
| Full Name | 409 Addiction Treatment Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 409 Nw 3rd St Ste A, Abilene, Kansas |
| Authorized Official Name and Position | Marie Woodruff (SENIOR COUNSELOR) |
| Authorized Official Contact | 7855710482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 409 Addiction Treatment Inc 409 Nw 3rd St Ste A Abilene KS 67410-2639 Ph: (785) 571-0482 | 409 Addiction Treatment Inc 409 Nw 3rd St Ste A Abilene KS 67410-2639 Ph: (785) 571-0482 |
| NPI Number | 1750392692 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750392692 | NPI | - | NPPES |
| 200264950A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Kansas) | Primary |
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