Provider Demographics
NPI:1689043747
Name:ALL IN THE BODY OF CHRIST
Entity Type:Organization
Organization Name:ALL IN THE BODY OF CHRIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:214-709-4706
Mailing Address - Street 1:601 ARBOR LN
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75134-3233
Mailing Address - Country:US
Mailing Address - Phone:214-709-4706
Mailing Address - Fax:888-800-1709
Practice Address - Street 1:520 N DALLAS AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-2414
Practice Address - Country:US
Practice Address - Phone:214-709-4706
Practice Address - Fax:888-800-1709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-18
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health