Organization · Type 2 NPI

Make That Change Ministry Outreach Church

Voluntary or Charitable Agency · Southgate, MI

NPI number 1528200458 Active

Practice location

11170 Hawthorne
Southgate, MI 48195-8540

Fax (313) 305-4316

Mailing address

3044 Cortland St
Detroit, MI 48206-3400

Specialties and licenses

TaxonomyCodeLicense
Voluntary or Charitable Agency Primary 251V00000XNone listed

Voluntary or Charitable Agency: Definition to come...

About NPI 1528200458

Make That Change Ministry Outreach Church's National Provider Identifier is 1528200458, issued on Mar 24, 2009. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in Southgate, MI. The record was last updated on Mar 24, 2009.