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Organization

SPRING RIVER MENTAL HEALTH AND WELLNESS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. 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 66770-0550
(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

Other identifiers
Code
Description
Identifier
Issuer
State
05
100098150B
KS
Enumeration date
02/16/2007
Last updated
09/06/2011
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