Provider Demographics
NPI:1508602574
Name:ROOTWORK LLC
Entity type:Organization
Organization Name:ROOTWORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / LEAD COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA,LMAC,PCCM
Authorized Official - Phone:316-708-4906
Mailing Address - Street 1:5731 E MAINSGATE RD
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67220-2701
Mailing Address - Country:US
Mailing Address - Phone:316-708-4906
Mailing Address - Fax:
Practice Address - Street 1:345 S HYDRAULIC ST STE A
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67211-1908
Practice Address - Country:US
Practice Address - Phone:316-708-4906
Practice Address - Fax:316-260-9103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder