Organization · NPI-2

International Deliverance Center Cdc

Point of Service · Detroit, MI

NPI number1407000565
StatusActive
Last updated in NPPESNov 14, 2008

Details

NPI
1407000565
Entity type
Organization (NPI-2)
Legal business name
International Deliverance Center Cdc
Organization subpart
No
Enumeration date
Nov 14, 2008
Last updated
Nov 14, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
305S00000X Point of Service––Yes

Practice location

7200 Harper Ave
Detroit, MI 48213-2404

Phone 313-921-3100 · Fax 313-921-7574

Mailing address

7200 Harper Ave
Detroit, MI 48213-2404

Phone 313-921-3100 · Fax 313-921-7574

Authorized official

Milton Charles Woods
Senior Pastor/Founder
3139213100

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