Organization
CHURCH OF GOD'S WORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA EMMA BUCHHOLZ (PASTOR)
(701) 412-3972
Entity
Organization
Contact information
Practice address
227 MAIN AVE W, WEST FARGO, ND 58078-1725
(701) 639-6240
Mailing address
227 MAIN AVE W, WEST FARGO, ND 58078-1725
(701) 639-6240
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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