Provider Demographics
NPI:1477754836
Name:THOMAS COUNTY ALCOHOL AND DRUG ABUSE COUNCIL, INC.
Entity Type:Organization
Organization Name:THOMAS COUNTY ALCOHOL AND DRUG ABUSE COUNCIL, INC.
Other - Org Name:THOMAS COUNTY ADAC
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CROTINGER
Authorized Official - Suffix:
Authorized Official - Credentials:AA, CADC
Authorized Official - Phone:785-462-6111
Mailing Address - Street 1:PO BOX 100
Mailing Address - Street 2:
Mailing Address - City:COLBY
Mailing Address - State:KS
Mailing Address - Zip Code:67701-0100
Mailing Address - Country:US
Mailing Address - Phone:785-462-6111
Mailing Address - Fax:785-462-6385
Practice Address - Street 1:1523 W 4TH ST
Practice Address - Street 2:
Practice Address - City:COLBY
Practice Address - State:KS
Practice Address - Zip Code:67701-1542
Practice Address - Country:US
Practice Address - Phone:785-462-6111
Practice Address - Fax:785-462-6385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0070261QR0405X, 324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Not Answered324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility