Provider Demographics
NPI:1184958860
Name:CITY OF HOLBROOK OUTREACH MINISTRY CHURCH
Entity type:Organization
Organization Name:CITY OF HOLBROOK OUTREACH MINISTRY CHURCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:VITO
Authorized Official - Last Name:STRAMAGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-739-5865
Mailing Address - Street 1:3000 AUBURN RD
Mailing Address - Street 2:
Mailing Address - City:SHELBY TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48317-3708
Mailing Address - Country:US
Mailing Address - Phone:586-739-5865
Mailing Address - Fax:586-739-5640
Practice Address - Street 1:3000 AUBURN RD
Practice Address - Street 2:
Practice Address - City:SHELBY TWP
Practice Address - State:MI
Practice Address - Zip Code:48317-3708
Practice Address - Country:US
Practice Address - Phone:586-739-5865
Practice Address - Fax:586-739-5640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable