Healthcare Provider Details

I. General information

NPI: 1477754836
Provider Name (Legal Business Name): THOMAS COUNTY ALCOHOL AND DRUG ABUSE COUNCIL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1523 W 4TH ST
COLBY KS
67701-1542
US

IV. Provider business mailing address

PO BOX 100
COLBY KS
67701-0100
US

V. Phone/Fax

Practice location:
  • Phone: 785-462-6111
  • Fax: 785-462-6385
Mailing address:
  • Phone: 785-462-6111
  • Fax: 785-462-6385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number0070
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number0070
License Number StateKS

VIII. Authorized Official

Name: MR. DANIEL CROTINGER
Title or Position: EXECUTIVE DIRECTOR
Credential: AA, CADC
Phone: 785-462-6111