Provider Demographics
NPI:1801080833
Name:BEHAVIORAL HEALTH AND ADDICTION SERVICES
Entity type:Organization
Organization Name:BEHAVIORAL HEALTH AND ADDICTION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:W
Authorized Official - Last Name:AHRENS
Authorized Official - Suffix:JR
Authorized Official - Credentials:ARNP
Authorized Official - Phone:316-842-6053
Mailing Address - Street 1:6547 E SAINT JAMES PL
Mailing Address - Street 2:
Mailing Address - City:BEL AIRE
Mailing Address - State:KS
Mailing Address - Zip Code:67226-1438
Mailing Address - Country:US
Mailing Address - Phone:316-842-6053
Mailing Address - Fax:866-241-0745
Practice Address - Street 1:1919 N AMIDON AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-2117
Practice Address - Country:US
Practice Address - Phone:316-842-6053
Practice Address - Fax:866-241-0745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-03
Last Update Date:2007-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty