| Organization Name: | ADDICTIVE BEHAVIORAL CHANGE HEALTH GROUP |
| NPI Number: | 1003043639 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVE GOKO KAMAU (CEO) |
| Mailing Address: | 9918 E Harry St Wichita |
| State: | KS US |
| Postal Code: | 672075008 |
| Phone Number: | 3167652764 |
| Fax Number: | 3166898285 |
| NPI Enumeration Date: | 06/22/2009 |
| NPI Last Update Date: | 06/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | 07080895 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |