Organization Name: | FOUR WINDS FAMILY RECOVERY CENTER, LLC |
NPI Number: | 1023292422 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY M LEES (OWNER) |
Mailing Address: | 2930 Sw Wanamaker Dr Suite 6 Topeka |
State: | KS US |
Postal Code: | 666144116 |
Phone Number: | 7858455416 |
Fax Number: | 7852715416 |
NPI Enumeration Date: | 12/20/2007 |
NPI Last Update Date: | 12/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 558 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |