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NPI 1164499075

NPI 1164499075 : CKF ADDICTION TREATMENT, INC : SALINA, KS

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General NPI Number Information
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    NPI Number           |    1164499075
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    Entity Type          |    Organization 
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    Legal Business Name  |    CKF ADDICTION TREATMENT, INC 
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Dates
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    Enumeration Date     |    03/01/2006
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    Last Update Date     |    05/13/2025
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Provider Practice Location Address
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    Address Line         |    617 E ELM STREET 
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    City                 |    SALINA
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    State                |    KS
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    Zip                  |    67401
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    Country              |    US
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    Telephone            |    785-825-6224
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    Fax                  |    785-825-7595
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Provider Business Mailing Address
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    Address Line         |    617 E ELM STREET 
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    City                 |    SALINA
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    State                |    KS
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    Zip                  |    67401
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    Country              |    US
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    Telephone            |    785-825-6224
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    Fax                  |    785-825-7595
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Authorized Official
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    Title or Position    |    INTERIM PRESIDENT & CEO, CFO
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    Name                 |     MICHELLE  WISBEY 
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    Credential           |    
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    Telephone            |    785-825-6224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QR0405X
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    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
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    License Number       |    055
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    License Number State |    KS
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