Organization
409 ADDICTION TREATMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE WOODRUFF LCAC, LMSW (SENIOR COUNSELOR)
(785) 571-0482
Entity
Organization
Contact information
Practice address
409 NW 3RD ST STE A, ABILENE, KS 67410-2639
(785) 571-0482
(785) 571-0222
Mailing address
409 NW 3RD ST STE A, ABILENE, KS 67410-2639
(785) 571-0482
(785) 571-0222
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200264950A
—
KS
Enumeration date
08/09/2006
Last updated
08/14/2024
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