Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X |
| NPI Number | 1003972241 |
| LBN Legal business name | DESERT ROCK COMMUNITY CHURCH |
| Authorized official | JAMES LAINE - (DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/30/2006 |
| Last updated | 08/22/2020 - About 6 years ago |
| Identifiers | n/a |
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