| Golden Retreat At Ict | |
|
1320 N Perth Ct Wichita KS 67208-2728 | |
| (316) 730-3110 | |
| Not Available |
| Full Name | Golden Retreat At Ict |
|---|---|
| Speciality | Social Worker |
| Location | 1320 N Perth Ct, Wichita, Kansas |
| Authorized Official Name and Position | Christine Ngyun (CEO) |
| Authorized Official Contact | 3167303110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Retreat At Ict 9306 E Carson St Wichita KS 67210-2430 Ph: (316) 730-3110 | Golden Retreat At Ict 1320 N Perth Ct Wichita KS 67208-2728 Ph: (316) 730-3110 |
| NPI Number | 1689480576 |
|---|---|
| Provider Enumeration Date | 12/05/2024 |
| Last Update Date | 12/05/2024 |
| Certification Date | 12/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689480576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 261QA0600X | Clinic/center - Adult Day Care | (* (Not Available)) | Secondary |
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