Organization
COMINGOUT CHRISTIAN OUTREACH ORG.
Active
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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