Organization
ADDICTION RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNELL B KALLMAN (OWNER)
(785) 243-4164
Entity
Organization
Contact information
Practice address
516 WASHINGTON ST, CONCORDIA, KS 66901-2117
(785) 243-4164
Mailing address
PO BOX 254, CONCORDIA, KS 66901-0254
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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