Center for Change LLC

NPI #1093349813 in Wichita, Kansas

Provider Information

NPI Number
1093349813
Entity Type
Organization
Organization Name
Center for Change LLC
Primary Specialty
Family Medicine - Addiction Medicine
Enumeration Date
Mar 2, 2020
Last Updated
Oct 22, 2020

Practice Location

Address
933 N TOPEKA ST
State
Kansas
ZIP Code
67214-3620
Phone
(316) 201-1234

Authorized Official

Name
GREGORY LAKIN, D.O.
Title
MEDICAL DIRECTOR/AUTHORIZED OFFCIAL
Phone
(316) 640-0601

Specialties & Taxonomy Codes

Specialty
Family Medicine - Addiction MedicineAddiction Medicine

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