# RIVERSIDE ACADEMY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932441177
- **Authorized official:** MEREDITH WHALEY LSCSW (CLINCIAL DIRECTOR)
- **Authorized official phone:** (316) 267-5710

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 03/26/2013
- **Last updated:** 03/26/2013