Organization
RELIVE REHAB GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY YOUNG (DIVISIONAL VICE PRESIDENT)
(316) 295-4591
Entity
Organization
Contact information
Practice address
2020 N TYLER RD STE 112, WICHITA, KS 67212-4916
(316) 295-4591
(316) 295-4713
Mailing address
2020 N TYLER RD STE 112, WICHITA, KS 67212-4916
(316) 295-4591
(316) 295-4713
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8422
KS
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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