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Organization
THE WORSHIP CENTRE
Active
Organization
THE WORSHIP CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GRICE (DIRECTOR OF CALAIM)
(559) 351-3365
Entity
Organization
Contact information
Practice address
2830 E MANNING AVE, FOWLER, CA 93625-9510
(559) 834-1730
Mailing address
2830 E MANNING AVE, FOWLER, CA 93625-9510
(559) 834-1730
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
04/06/2023
Last updated
10/24/2023
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