Organization
EPHESIANS LIFE MINISTRIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENA GIBSON PHD (EXECUTIVE DIRECTOR)
(301) 439-7191
Entity
Organization
Contact information
Practice address
1620 ELTON RD, SUITE #204, SILVER SPRING, MD 20903-1740
(301) 439-7191
(301) 439-1169
Mailing address
1620 ELTON RD, SUITE #204, SILVER SPRING, MD 20903-1740
(301) 439-7191
(301) 439-1169
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
02951678
MD
251V00000X
Voluntary or Charitable Agency
02951678
MD
Other
Enumeration date
08/23/2006
Last updated
02/08/2011
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