Organization
LIFE RESTORATION MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY NICOLE RIALS LSCSW (EXECUTIVE DIRECTOR)
(785) 760-0301
Entity
Organization
Contact information
Practice address
2518 RIDGE CT STE 209, LAWRENCE, KS 66046-4029
(785) 760-0301
Mailing address
2518 RIDGE CT STE 209, LAWRENCE, KS 66046-4029
(785) 760-0301
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
KS
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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