OrganizationActive
Center for Change LLC
NPI 1093349813 · Addiction Medicine (Family Medicine) Physician · Wichita, KS
Provider details
- NPI number
- 1093349813
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gregory Lakin, Medical Director/Authorized Offcial(316) 640-0601
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
933 N Topeka St
Wichita, KS 67214-3620
Phone: (316) 201-1234
Fax: (316) 201-1673
Approximate (ZIP-level) locationGet directions
Mailing address
933 N Topeka St
Wichita, KS 67214-3620
Registry dates
- Enumerated
- 2020-03-02
- Last updated
- 2020-10-22
- Certified
- 2020-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.