Organization
A GREAT WORK MINISTRIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE MYRICK (CEO)
(614) 980-2116
Entity
Organization
Contact information
Practice address
528 DRY RUN RD, PORTSMOUTH, OH 45663-8988
(614) 980-2116
Mailing address
PO BOX 184, PORTSMOUTH, OH 45662-0184
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
01/25/2019
Last updated
11/13/2022
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