Provider Demographics
NPI:1568865327
Name:SUNFLOWER SUBSTANCE ABUSE RECOVERY SERVICES INC
Entity Type:Organization
Organization Name:SUNFLOWER SUBSTANCE ABUSE RECOVERY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PROGRAM DIRECTOR/ADDICTION COUN
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAILENE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:AHRING
Authorized Official - Suffix:
Authorized Official - Credentials:LAC PCCM
Authorized Official - Phone:913-755-2081
Mailing Address - Street 1:223 6TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:OSAWATOMIE
Mailing Address - State:KS
Mailing Address - Zip Code:66064-1401
Mailing Address - Country:US
Mailing Address - Phone:913-755-2081
Mailing Address - Fax:913-755-2083
Practice Address - Street 1:223 6TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:OSAWATOMIE
Practice Address - State:KS
Practice Address - Zip Code:66064-1401
Practice Address - Country:US
Practice Address - Phone:913-755-2081
Practice Address - Fax:913-755-2083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS001Q002Q251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health