Provider Demographics
NPI:1922243260
Name:SPIRIT OF THE WORD EVANGELISTIC OUTREACH MINISTRIES
Entity Type:Organization
Organization Name:SPIRIT OF THE WORD EVANGELISTIC OUTREACH MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PASTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:WINSTON
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-742-6811
Mailing Address - Street 1:803 CURTIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-2107
Mailing Address - Country:US
Mailing Address - Phone:713-742-6811
Mailing Address - Fax:
Practice Address - Street 1:803 CURTIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-2107
Practice Address - Country:US
Practice Address - Phone:713-742-6811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-15
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services