| Sober City Llc | |
|
2944 S Fern St Wichita KS 67217-2426 | |
| (316) 218-7734 | |
| Not Available |
| Full Name | Sober City Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2944 S Fern St, Wichita, Kansas |
| Authorized Official Name and Position | Nathan Zane Magruder (CEO) |
| Authorized Official Contact | 3162187734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sober City Llc 2944 S Fern St Wichita KS 67217-2426 Ph: (316) 218-7734 | Sober City Llc 2944 S Fern St Wichita KS 67217-2426 Ph: (316) 218-7734 |
| NPI Number | 1356182455 |
|---|---|
| Provider Enumeration Date | 06/03/2024 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356182455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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