Organization
PINNACLE HOPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID D WALLACE JR. (OWNER)
(316) 993-7552
Entity
Organization
Contact information
Practice address
7111 E 21ST ST N STE 104, WICHITA, KS 67206-1090
(316) 993-7552
Mailing address
818 W UNIVERSITY AVE APT 1, WICHITA, KS 67213-5548
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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