Provider Demographics
NPI:1437408580
Name:FAITH ASSEMBLY CHRISTIAN CENTER WORD OF TRUTH
Entity Type:Organization
Organization Name:FAITH ASSEMBLY CHRISTIAN CENTER WORD OF TRUTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FREIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOYT-CATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-231-1251
Mailing Address - Street 1:821 S NEW HOPE RD
Mailing Address - Street 2:105
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-1485
Mailing Address - Country:US
Mailing Address - Phone:919-231-1251
Mailing Address - Fax:919-231-1252
Practice Address - Street 1:821 S NEW HOPE RD
Practice Address - Street 2:105
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1485
Practice Address - Country:US
Practice Address - Phone:919-231-1251
Practice Address - Fax:919-231-1252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-05
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty