| Tiyospaye, Inc. | |
|
247 N Market St Wichita KS 67202-2003 | |
| (316) 262-2060 | |
| (316) 262-2740 |
| Full Name | Tiyospaye, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 247 N Market St, Wichita, Kansas |
| Authorized Official Name and Position | Mary San Martin (CEO) |
| Authorized Official Contact | 3162622060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiyospaye, Inc. 247 N Market St Wichita KS 67202-2003 Ph: (316) 262-2060 | Tiyospaye, Inc. 247 N Market St Wichita KS 67202-2003 Ph: (316) 262-2060 |
| NPI Number | 1912990482 |
|---|---|
| Provider Enumeration Date | 08/30/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912990482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 412 (Kansas) | Primary |
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