Organization
COMINGOUT CHRISTIAN OUTREACH ORG.
Active
Other names
comingout christian outreach org.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MURIEL CONCETTA WALLACECER CERT. (OWNER)
(757) 508-6671
Entity
Organization
Contact information
Practice address
1021 NICKLAUS DR, SUFFOLK, VA 23435-4102
(757) 508-6671
(757) 934-9294
Mailing address
1021 NICKLAUS DR, SUFFOLK, VA 23435-4102
(757) 508-6671
(757) 934-9294
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
S4070266
VA
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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