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Organization

SCRAPPY ENTERPRISES, INC

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Other names
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Organization subpart
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Provider details

NPI number
Authorized official
JANEL SANFORD LMSW, LMAC (CEO)
(316) 759-9136
Entity
Organization

Contact information

Practice address
300 W DOUGLAS AVE STE 205, WICHITA, KS 67202-2904
(316) 759-9136
(316) 500-7862
Mailing address
300 W DOUGLAS AVE STE 205, WICHITA, KS 67202-2904
(316) 759-9136
(316) 500-7862

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Enumeration date
05/08/2020
Last updated
05/12/2020
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