| Percolating Sunshine Center For Change, Llc | |
|
926 S Drury Ln Wichita KS 67207-2622 | |
| (316) 685-1821 | |
| Not Available |
| Full Name | Percolating Sunshine Center For Change, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 926 S Drury Ln, Wichita, Kansas |
| Authorized Official Name and Position | Chyncia Howard (OWNER) |
| Authorized Official Contact | 3166851821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Percolating Sunshine Center For Change, Llc 926 S Drury Ln Wichita KS 67207-2622 Ph: () - | Percolating Sunshine Center For Change, Llc 926 S Drury Ln Wichita KS 67207-2622 Ph: (316) 685-1821 |
| NPI Number | 1972389757 |
|---|---|
| Provider Enumeration Date | 09/06/2023 |
| Last Update Date | 09/06/2023 |
| Certification Date | 09/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972389757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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