Provider Demographics
NPI:1003962200
Name:BUILDING SUCCESSFUL LIFESTYLES, INC
Entity Type:Organization
Organization Name:BUILDING SUCCESSFUL LIFESTYLES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:DYCHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-383-4402
Mailing Address - Street 1:1308 SW COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-2756
Mailing Address - Country:US
Mailing Address - Phone:785-383-5627
Mailing Address - Fax:785-234-0062
Practice Address - Street 1:1308 SW COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-2756
Practice Address - Country:US
Practice Address - Phone:785-383-5627
Practice Address - Fax:785-234-0062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services