Provider Demographics
NPI:1316711385
Name:RESPONDERS REFUGE
Entity type:Organization
Organization Name:RESPONDERS REFUGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/LEAD CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:WINNING
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:617-694-4080
Mailing Address - Street 1:165 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:EAST LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028-2824
Mailing Address - Country:US
Mailing Address - Phone:413-435-6036
Mailing Address - Fax:
Practice Address - Street 1:1200 CONVERSE STREET
Practice Address - Street 2:ROOM B OF SUITE L1
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106
Practice Address - Country:US
Practice Address - Phone:413-435-6036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-10
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty