Organization Name: | CHRISTOS FAMILY MINISTRIES |
NPI Number: | 1427074277 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GARY D HEATH (PRESIDENT) |
Mailing Address: | 12970 W Bluemound Rd Suite 105 Elm Grove |
State: | WI US |
Postal Code: | 531222607 |
Phone Number: | 2627872904 |
Fax Number: | 2627872909 |
NPI Enumeration Date: | 07/14/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1445 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |