OrganizationActive
Changing Habits
NPI 1871833285 · Substance Use Disorder Rehabilitation Clinic/Center · Wichita, KS
Provider details
- NPI number
- 1871833285
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Simmons, Owner(316) 409-5242
- License
- 07570128 (KS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1115 S Glendale St Ste 204
Parklane Shopping Center Lower Level
Wichita, KS 67218-3232
Phone: (316) 409-5242
Fax: (316) 719-2440
Approximate (ZIP-level) locationGet directions
Mailing address
1115 S Glendale St Ste 204
Wichita, KS 67218-3232
Registry dates
- Enumerated
- 2013-02-21
- Last updated
- 2015-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.