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Organization

RIVERSIDE ACADEMY

Active
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Organization

RIVERSIDE ACADEMY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MEREDITH WHALEY LSCSW (CLINCIAL DIRECTOR)
(316) 267-5710
Entity
Organization

Contact information

Practice address
2050 W 11TH ST N, WICHITA, KS 67203-3006
(316) 267-5710
Mailing address
2050 W 11TH ST N, WICHITA, KS 67203-3006
(316) 267-5710

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
8668
KS

Other

Enumeration date
03/26/2013
Last updated
03/26/2013
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