Organization
ADDICTIVE BEHAVIORAL CHANGE HEALTH GROUP LLC
Active
Other names
Matrix Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE GOKO KAMAU MA, LCAC (CEO)
(316) 260-3445
Entity
Organization
Contact information
Practice address
9918 E. HARRY, WICHITA, KS 67207-5008
(316) 260-3445
(316) 260-3445
Mailing address
9918 E. HARRY, WICHITA, KS 67207-5008
(316) 260-3445
(316) 260-3367
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
07080895
KS
Other
Enumeration date
06/22/2009
Last updated
07/07/2023
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