| NPI | 1275243834 |
|---|---|
| Former Legal Business Name | ST. PHILIP BAPTIST CHURCH "HARRELL HOUSE" |
| Entity Type | Organization |
| Authorized Contact | ISIAH MOORE Board Chairman 214-578-0221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2023-06-20 |