| None | |
|
8911 E Orme St Wichita KS 67207-2423 | |
| (316) 686-7884 | |
| Not Available |
| Full Name | None |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 8911 E Orme St, Wichita, Kansas |
| Authorized Official Name and Position | Samantha Hartley (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7745217092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| None 8911 E Orme St Wichita KS 67207-2423 Ph: (316) 686-7884 | None 8911 E Orme St Wichita KS 67207-2423 Ph: (316) 686-7884 |
| NPI Number | 1427827096 |
|---|---|
| Provider Enumeration Date | 12/25/2023 |
| Last Update Date | 10/25/2024 |
| Certification Date | 10/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427827096 | NPI | - | NPPES |
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