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Organization
FAMILY LIFE CENTER, INC
Active
Organization
FAMILY LIFE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SCOTT JACKSON (EXECUTIVE DIRECTOR)
(620) 848-2300
Entity
Organization
Contact information
Practice address
6610 SE QUAKERVALE RD, RIVERTON, KS 66770-4185
(620) 848-2300
(620) 848-2304
Mailing address
PO BOX 550, RIVERTON, KS 66770
(620) 848-2300
(620) 848-2304
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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