Provider Demographics
NPI:1720606148
Name:WARRIORS 4 CHRIST RECOVERY MINISTRIES
Entity Type:Organization
Organization Name:WARRIORS 4 CHRIST RECOVERY MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:OYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-577-3834
Mailing Address - Street 1:84 E MOUND ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:OH
Mailing Address - Zip Code:45640-1226
Mailing Address - Country:US
Mailing Address - Phone:740-577-3834
Mailing Address - Fax:
Practice Address - Street 1:84 E MOUND ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:OH
Practice Address - Zip Code:45640-1226
Practice Address - Country:US
Practice Address - Phone:740-577-3834
Practice Address - Fax:740-577-3834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty