Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Voluntary or Charitable |
251V00000X | 61 | Voluntary Health or Charitable Agency[1] | |
Community/Behavioral Health |
251S00000X |
| NPI # | 1427236504 |
||||
| LBN Legal business name | MANITO PRESBYTERIAN CHURCH | ||||
| Authorized official | CYNTHIA CARTER - (COUNSELING MINISTRY DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/31/2008 | ||||
| Last updated | 07/21/2022 - About 4 years ago | ||||
| Identifiers |
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