NPI 1184465619

Life Center Organization

Organisation Addiction (Substance Use Disorder) Counselor Pittsburg, KS

Practice location

Address: 122 W Washington St, Pittsburg, KS 66762-5153
Phone: (620) 875-6604

Authorised official

Name: Dusty Harryman
Title: President/Founder
Phone: (620) 875-6604

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

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Registry record

NPI: 1184465619
Entity type: Organization
NPI issued: 6 Jun 2024
Record last updated: 6 Jun 2024

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.