Organization
CHRIST THE KING FAITH TEMPLE MINISTRIES
Active
Other names
Life Support Addiction Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE WILLIAMS RN (CEO/FOUNDER)
(304) 374-0734
Entity
Organization
Contact information
Practice address
3176 WEIR AVE, WEIRTON, WV 26062-4809
(304) 224-1060
Mailing address
73 EAST ST., NEW CUMBERLAND, WV 26047-1503
(740) 275-6077
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1302076
OH
163W00000X
Registered Nurse
269712
OH
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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