Provider Demographics
NPI:1962274738
Name:BREAKTHROUGH HOUSE, INC.
Entity type:Organization
Organization Name:BREAKTHROUGH HOUSE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:BLEVINS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCAC
Authorized Official - Phone:785-232-6807
Mailing Address - Street 1:403 NW LYMAN RD STE A
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66608-1969
Mailing Address - Country:US
Mailing Address - Phone:785-232-6807
Mailing Address - Fax:785-232-0751
Practice Address - Street 1:403 NW LYMAN RD STE A
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66608-1969
Practice Address - Country:US
Practice Address - Phone:785-232-6807
Practice Address - Fax:785-232-0751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health