| NPI | 1538812458 |
|---|---|
| Other Name | TAYAS YAWKS |
| Former Legal Business Name | KLAMATH FULL GOSPEL CHURCH |
| Entity Type | Organization |
| Authorized Contact | TAMMY MAE ANDERSON Co Director 541-891-0194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2024-02-13 |