| NPI | 1114277266 |
|---|---|
| Doing Business As | NORTH PORT COMMUNITY CHURCH OF GOD IN CHRIST |
| Entity Type | Organization |
| Authorized Contact | CALVIN COLLINS Mental Health Therapist/ Director 941-237-1199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 11397) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |