Organization
CHURCH OF THE OVERCOMER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYIN C. COLLINS M.H.S, D.D (DIRECTOR)
(610) 485-6090
Entity
Organization
Contact information
Practice address
1010 SUNSET ST, TRAINER, PA 19061-5224
(610) 485-6090
Mailing address
1010 SUNSET ST, TRAINER, PA 19061-5224
(610) 485-6090
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
PA
305S00000X
Point of Service
—
PA
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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