Organization
ESTABLISHING ORDER CHRISTIAN MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VHALARRIE Y SANDLING SUDPT (THERAPIST PASTOR)
(253) 283-1786
Entity
Organization
Contact information
Practice address
7704 189TH STREET CT E, PUYALLUP, WA 98375-2435
(253) 283-1786
Mailing address
7704 189TH STREET CT E, PUYALLUP, WA 98375-2435
(253) 283-1786
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
603466708
UBI
WA
Enumeration date
07/06/2020
Last updated
08/16/2020
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