Provider Demographics
NPI:1659596542
Name:RECOVERY CONCEPTS INC.
Entity Type:Organization
Organization Name:RECOVERY CONCEPTS INC.
Other - Org Name:INDIAN ALCOHOLISM TREATMENT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GAYL
Authorized Official - Middle Name:R
Authorized Official - Last Name:EDMUNDS
Authorized Official - Suffix:
Authorized Official - Credentials:BGS
Authorized Official - Phone:316-262-6633
Mailing Address - Street 1:313 N SENECA ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-5937
Mailing Address - Country:US
Mailing Address - Phone:316-262-6633
Mailing Address - Fax:316-262-3593
Practice Address - Street 1:313 N SENECA ST
Practice Address - Street 2:SUITE 101
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-5937
Practice Address - Country:US
Practice Address - Phone:316-262-6633
Practice Address - Fax:316-262-3593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS066101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty