Provider Demographics
NPI:1932726023
Name:ESTABLISHING ORDER CHRISTIAN MINISTRIES
Entity Type:Organization
Organization Name:ESTABLISHING ORDER CHRISTIAN MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST PASTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VHALARRIE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:SANDLING
Authorized Official - Suffix:
Authorized Official - Credentials:SUDPT
Authorized Official - Phone:253-283-1786
Mailing Address - Street 1:7704 189TH STREET CT E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98375-2435
Mailing Address - Country:US
Mailing Address - Phone:253-283-1786
Mailing Address - Fax:
Practice Address - Street 1:7704 189TH STREET CT E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98375-2435
Practice Address - Country:US
Practice Address - Phone:253-283-1786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-06
Last Update Date:2020-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty
No251B00000XAgenciesCase Management
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use DisorderGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA603466708OtherUBI