Organization Name: | FRONTLINE MINISTRIES |
NPI Number: | 1073786976 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | C. STEVEN SHAFFER (EXECUTIVE DIRECTOR) |
Mailing Address: | 2594 Highway 34 East Suite B Newnan |
State: | GA US |
Postal Code: | 30265 |
Phone Number: | 7702523760 |
Fax Number: | 6782987637 |
NPI Enumeration Date: | 04/11/2008 |
NPI Last Update Date: | 04/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CSW001341 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |