NPI 1003895988

Change Your Life Enterprises, INC.

Organisation Substance Use Disorder Rehabilitation Clinic/Center Wichita, KS

Practice location

Address: 9505 W. Central STE. 103, Wichita, KS 67212-3832
Phone: (316) 721-0971
Fax: (316) 512-4070

Authorised official

Name: Stephenie Ann Roberts
Title: President/Owner
Phone: (316) 721-0971

Registered specialties (3)

Substance Use Disorder Rehabilitation Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR0405X Licence 547 (KS)

Other Clinic/Center providers in Kansas →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

Other Counselor providers in Kansas →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 1949 (KS)

Other Social Worker providers in Kansas →

Registry record

NPI: 1003895988
Entity type: Organization
NPI issued: 10 Jan 2006
Record last updated: 15 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.