| NPI | 1376964783 |
|---|---|
| Former Legal Business Name | COMINGOUT CHRISTIAN OUTREACH ORG. |
| Entity Type | Organization |
| Authorized Contact | MURIEL CONCETTA WALLACECER Owner 757-508-6671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA S4070266) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-01-02 |