Organization
CITY CHURCH 242
Active
Parent organization
GRACE INTERNATIONAL MINISTRIES
Other names
City Church Live In Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRACE INTERNATIONAL MINISTRIES
Authorized official
MR. SCOTT MULVEY (EXECUTIVE DIRECTOR / PASTOR)
(707) 426-2172
Entity
Organization
Contact information
Practice address
743 E TABOR AVE, FAIRFIELD, CA 94533-4046
(707) 426-2172
Mailing address
743 E TABOR AVE, FAIRFIELD, CA 94533-4046
(707) 426-2172
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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