Provider Demographics
NPI:1619095809
Name:A NEW WAY TO LIVE TREATMENT & RECOVERY SERVICES
Entity Type:Organization
Organization Name:A NEW WAY TO LIVE TREATMENT & RECOVERY SERVICES
Other - Org Name:PATRICIA SMITH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:BAS, CADC II, NCAC I
Authorized Official - Phone:785-845-0297
Mailing Address - Street 1:2950 SW WOODSIDE DR
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-5326
Mailing Address - Country:US
Mailing Address - Phone:785-272-5134
Mailing Address - Fax:785-272-4370
Practice Address - Street 1:2950 SW WOODSIDE DR
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-5326
Practice Address - Country:US
Practice Address - Phone:785-272-5134
Practice Address - Fax:785-272-4370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS606101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS110674OtherBLUE CROSS BLUE SHIELD