Provider Demographics
NPI:1518065820
Name:RONALD EISENBARTH
Entity Type:Organization
Organization Name:RONALD EISENBARTH
Other - Org Name:EISENBARTH & ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:EISENBARTH
Authorized Official - Suffix:
Authorized Official - Credentials:CADC II, NCAC III
Authorized Official - Phone:785-234-4231
Mailing Address - Street 1:514 SW WASHBURN AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1524
Mailing Address - Country:US
Mailing Address - Phone:785-234-4231
Mailing Address - Fax:785-234-4250
Practice Address - Street 1:514 SW WASHBURN AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1524
Practice Address - Country:US
Practice Address - Phone:785-234-4231
Practice Address - Fax:785-234-4250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility