Provider Demographics
NPI:1922105006
Name:CENTRAL CHRISTIAN CHURCH
Entity Type:Organization
Organization Name:CENTRAL CHRISTIAN CHURCH
Other - Org Name:CENTRAL CHRISTIAN COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHARENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:316-683-4083
Mailing Address - Street 1:2900 N ROCK RD
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-1144
Mailing Address - Country:US
Mailing Address - Phone:316-683-4083
Mailing Address - Fax:
Practice Address - Street 1:2900 N ROCK RD
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-1144
Practice Address - Country:US
Practice Address - Phone:316-683-4083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty