Organization
GODS WORSHIP & PRAISE TEMPLE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL GRIFFIN (OWNER)
(414) 485-4521
Entity
Organization
Contact information
Practice address
6450 W FOND DU LAC AVE, MILWAUKEE, WI 53218-4917
(414) 485-4521
Mailing address
6450 W FOND DU LAC AVE, MILWAUKEE, WI 53218-4917
(414) 485-4521
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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