Change Your Life Enterprises, Inc.

NPI #1003895988 in Wichita, Kansas

Provider Information

NPI Number
1003895988
Entity Type
Organization
Organization Name
Change Your Life Enterprises, Inc.
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Jan 10, 2006
Last Updated
Jul 15, 2011

Practice Location

Address
9505 W. CENTRAL
Address 2
STE. 103
State
Kansas
ZIP Code
67212-3832
Phone
(316) 721-0971

Authorized Official

Name
MS. STEPHENIE ANN ROBERTS, LSCSW
Title
PRESIDENT/OWNER
Phone
(316) 721-0971

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Social Worker - ClinicalClinical
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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