| NPI | 1932593696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES L. ROGERS Chief Priest 512-858-2951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution |
| Additional Taxonomies | 175F00000X Naturopath |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-23 |