Percolating Sunshine Center For Change, LLC
Social Worker, Clinical in Wichita, KS. Organization (NPI-2).
NPI number1972389757
StatusActive
Last updated in NPPESSep 6, 2023
Details
- NPI
- 1972389757
- Entity type
- Organization (NPI-2)
- Legal business name
- Percolating Sunshine Center For Change, LLC
- Organization subpart
- No
- Enumeration date
- Sep 6, 2023
- Certification date
- Sep 6, 2023
- Last updated
- Sep 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
926 S Drury LnWichita, KS 67207-2622
Phone 316-685-1821
Mailing address
926 S Drury LnWichita, KS 67207-2622
Authorized official
Chyncia Howard
Owner
3166851821
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