Organization
LIVING WATERS PRISONER MINISTERIES
Active
Parent organization
LIVING WATERS PRISONER MINISTRIES
Other names
living waters outreach program
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIVING WATERS PRISONER MINISTRIES
Authorized official
MR. TERRY CHRISTOPHER SPEAKS CHRISTIAN COUNSILOR (CASE MANAGER)
(336) 710-2019
Entity
Organization
Contact information
Practice address
355 GALLOWAY ST, MOUNT AIRY, NC 27030
(336) 719-2019
(336) 719-2019
Mailing address
355 GALLOWAY ST, MOUNT AIRY, NC 27030-3711
(336) 719-2019
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
NC
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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