Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X | |||
Religious Nonmedical Health Care Institution |
282J00000X | B4[14] | Religious Non-Medical Health Care Institution |
| NPI # | 1144047713 |
| LBN Legal business name | PREVENTION GAMBLER FOUNDATION NON PROFIT |
| Authorized official | RITA DOMINGUEZ ROMAN - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/24/2024 |
| Last updated | 09/24/2024 - More than a year ago |
| Identifiers | n/a |
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