Organization
PARALLAX PROGRAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDIE FOULK (ADMISSION/BILLING MANAGER)
(316) 689-6813
Entity
Organization
Contact information
Practice address
3410 E FUNSTON ST, WICHITA, KS 67218-3946
(316) 689-6813
Mailing address
3410 E FUNSTON ST, WICHITA, KS 67218-3946
(316) 689-6813
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
073
KS
Other
Enumeration date
07/01/2006
Last updated
08/22/2020
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