Organization
HEALING AND REFUGE CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EARNESTINE 'LAMONICA' WILLIAMS LSCSW (PSYCHOTHERAPIST)
(316) 293-9869
Entity
Organization
Contact information
Practice address
3110 E KITE CIR, WICHITA, KS 67219-3034
(316) 293-9869
Mailing address
3110 E KITE CIR, WICHITA, KS 67219-3034
(316) 293-9869
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3804
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730125964
INDIVIDUAL NPI
KS
Enumeration date
07/10/2008
Last updated
07/10/2008
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