| NPI | 1396259578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD K. MOUTON Pastor 713-747-2534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution |
| Enumeration Date | 2017-11-26 |
| Last Update Date | 2017-11-26 |