# ADOLESCENT SPECIALISTS OF KANSAS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861585473
- **Authorized official:** MS. ANNE M DOLAN (PRACTICE MANAGER)
- **Authorized official phone:** (316) 685-4700

## Contact information

- **Practice address:** 650 NORTH CARRIAGE PARKWAY, SUITE 135, WICHITA, KS 67208-4514
- **Practice address phone:** (316) 685-4700
- **Practice address fax:** (316) 685-8247
- **Mailing address:** 650 NORTH CARRIAGE PARKWAY, SUITE 135, WICHITA, KS 67208-4514
- **Mailing address phone:** (316) 685-4700
- **Mailing address fax:** (316) 685-8247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 619 | KS | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 08/22/2020