Provider Demographics
NPI:1174827703
Name:BEHAVIORAL HEALTH AND ADDICTION SERVICES INC
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH AND ADDICTION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANA
Authorized Official - Middle Name:S
Authorized Official - Last Name:AHRENS
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:316-201-1676
Mailing Address - Street 1:1919 N AMIDON AVE STE 317
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-2120
Mailing Address - Country:US
Mailing Address - Phone:316-201-1676
Mailing Address - Fax:316-201-1762
Practice Address - Street 1:1919 N AMIDON AVE STE 317
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-2120
Practice Address - Country:US
Practice Address - Phone:316-201-1676
Practice Address - Fax:316-201-1762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-21
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty