Organization
GOLDEN RETREAT AT ICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE NGYUN (CEO)
(316) 730-3110
Entity
Organization
Contact information
Practice address
1320 N PERTH CT, WICHITA, KS 67208-2728
(316) 730-3110
Mailing address
9306 E CARSON ST, WICHITA, KS 67210-2430
(316) 730-3110
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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