Provider Demographics
NPI:1821276726
Name:ANCHOR MINISTRY INC
Entity Type:Organization
Organization Name:ANCHOR MINISTRY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PJ
Authorized Official - Middle Name:
Authorized Official - Last Name:GERARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:405-799-5443
Mailing Address - Street 1:641 SW 8TH STREET
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-2541
Mailing Address - Country:US
Mailing Address - Phone:405-799-5443
Mailing Address - Fax:
Practice Address - Street 1:641 SW 8TH STREET
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-2541
Practice Address - Country:US
Practice Address - Phone:405-799-5443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-04
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty