Provider Demographics
NPI:1093270332
Name:SAVIOR'S FAITH MINISTRIES
Entity Type:Organization
Organization Name:SAVIOR'S FAITH MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AKIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MERINO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:909-224-7808
Mailing Address - Street 1:13435 ROGUE RIVER DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-2061
Mailing Address - Country:US
Mailing Address - Phone:909-803-8762
Mailing Address - Fax:
Practice Address - Street 1:3401 CENTRE LAKE DR
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-1201
Practice Address - Country:US
Practice Address - Phone:909-224-7808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAVIOR'S FAITH MINISTRIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health