| NPI | 1881408185 |
|---|---|
| Former Legal Business Name | SPIRIT LIFE CHURCH OF JESUS CHRIST |
| Entity Type | Organization |
| Authorized Contact | TARYN TARVER Owner 805-864-9046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 207Q00000X Family Medicine | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-05 |