Alcohol and Drug Services

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

01160092 Issued in KS

Legal business name

ALCOHOL AND DRUG SERVICES

Practice address

6005 Martway St
Ste. 102
Mission, KS 66202-3374

Phone

(913) 722-3866

Fax

(913) 722-3867

NPI assigned

Jun 15, 2011

Last updated

Jun 15, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mike Dalen, M.S., NCAC I, LCAC

Title

President

Phone

(913) 722-3866

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1881989150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 MARTWAY",
            "address_2": "STE. 102",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "66202",
            "telephone_number": "913-722-3866",
            "fax_number": "913-722-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 MARTWAY ST",
            "address_2": "STE. 102",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023374",
            "telephone_number": "913-722-3866",
            "fax_number": "913-722-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCOHOL AND DRUG SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "DALEN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-722-3866",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., NCAC I, LCAC"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "KS",
            "license": "01160092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Acton, LPC
• Patrick Adams
• Marika D Adebayo, LPN
• Madeline Ahern
• Sarah Albert
• Audra Elizabeth Alexander
• Sabrina Allen
• Anne M Alley, PHARMD
• Allies in Therapy, LLC
• Brittany Almire, OTR/L

• Early Intervention Provider Agency in Mission, KS
• Providers in Mission, KS by specialty
• Early Intervention Provider Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.