Organization
COUNTY OF SEDGWICK
Active
Other names
COMCARE Addiction Treatment Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN TAMMANY LMLP (EXECUTIVE DIRECTOR)
(316) 660-7600
Entity
Organization
Contact information
Practice address
940 N WACO AVE, WICHITA, KS 67203-3947
(316) 660-7550
(316) 383-8241
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 383-7925
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
022
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100056230C
—
KS
01
—
116044
BLUE CROSS OSAF
KS
Enumeration date
10/18/2006
Last updated
04/08/2024
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