Organization
SOBER CITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN ZANE MAGRUDER LAC (CEO)
(316) 218-7734
Entity
Organization
Contact information
Practice address
2944 S FERN ST, WICHITA, KS 67217-2426
(316) 218-7734
Mailing address
2944 S FERN ST, WICHITA, KS 67217-2426
(316) 218-7734
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
09/30/2024
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