Provider Demographics
NPI:1366852774
Name:ANOTHER CHANCE GOSPEL MINISTRY
Entity Type:Organization
Organization Name:ANOTHER CHANCE GOSPEL MINISTRY
Other - Org Name:ACM ASSERTIVE ENGAGEMENT/OUTREACH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DARRYL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARROLL
Authorized Official - Suffix:
Authorized Official - Credentials:REV,MM,QPPSR
Authorized Official - Phone:336-987-0333
Mailing Address - Street 1:1201 COX AVE
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27263-9720
Mailing Address - Country:US
Mailing Address - Phone:336-987-0333
Mailing Address - Fax:336-887-6631
Practice Address - Street 1:1905 MIDDLEWOOD CT
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-1438
Practice Address - Country:US
Practice Address - Phone:336-987-0333
Practice Address - Fax:336-887-6631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-07
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable