| NPI | 1447668173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBIFUBARA DAYEBA OMEWAH Pastor/Counselor 214-476-3603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 65641) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |