Organization
CORNER HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH MARIE RILEY-HANSEN MS LPC NCC AAPS (EXECUTIVE DIRECTOR)
(620) 342-3015
Entity
Organization
Contact information
Practice address
418 MARKET STREET, EMPORIA, KS 66801
(620) 342-3015
(620) 343-7606
Mailing address
PO BOX 931, EMPORIA, KS 66801-0931
(620) 342-3015
(620) 343-7606
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
097
KS
324500000X
Substance Abuse Rehabilitation Facility
097
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000464
BCBSKS
KS
05
—
100307180A
—
KS
01
—
116096
BCBSKS
KS
Enumeration date
09/13/2006
Last updated
05/23/2008
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