Organization Name: | NEW CREATION COUNSELING CENTER |
NPI Number: | 1134295439 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN FRANCIS JUNG (EXECUTIVE DIRECTOR) |
Mailing Address: | 7695 S County Road 25a Tipp City |
State: | OH US |
Postal Code: | 453719215 |
Phone Number: | 9376674678 |
Fax Number: | 9376674963 |
NPI Enumeration Date: | 11/28/2006 |
NPI Last Update Date: | 01/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | E0000095 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |