| Road To Recovery - Lawrence Llc | |
|
1333 N Broadway St Ste E Wichita KS 67214-2894 | |
| (316) 201-1676 | |
| (316) 201-1762 |
| Full Name | Road To Recovery - Lawrence Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1333 N Broadway St Ste E, Wichita, Kansas |
| Authorized Official Name and Position | Ana S Ahrens (OWNER) |
| Authorized Official Contact | 3162011676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Road To Recovery - Lawrence Llc 1333 N Broadway St Ste E Wichita KS 67214-2894 Ph: (316) 201-1676 | Road To Recovery - Lawrence Llc 1333 N Broadway St Ste E Wichita KS 67214-2894 Ph: (316) 201-1676 |
| NPI Number | 1326381328 |
|---|---|
| Provider Enumeration Date | 03/28/2013 |
| Last Update Date | 06/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326381328 | NPI | - | NPPES |
| 261QM0801X | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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