Healthcare Provider Details

I. General information

NPI: 1619095809
Provider Name (Legal Business Name): A NEW WAY TO LIVE TREATMENT & RECOVERY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 06/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 SW WOODSIDE DR
TOPEKA KS
66614-5326
US

IV. Provider business mailing address

2950 SW WOODSIDE DR
TOPEKA KS
66614-5326
US

V. Phone/Fax

Practice location:
  • Phone: 785-272-5134
  • Fax: 785-272-4370
Mailing address:
  • Phone: 785-272-5134
  • Fax: 785-272-4370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number606
License Number StateKS

VIII. Authorized Official

Name: MISS PATRICIA M SMITH
Title or Position: EXECUTIVE DIRECTOR
Credential: BAS, CADC II, NCAC I
Phone: 785-845-0297