Organization
SPRING RIVER MENTAL HEALTH & WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY MANBECK (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
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003922010002
—
KS
05
—
30003922010007
—
KS
Enumeration date
05/01/2023
Last updated
05/01/2023
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