Provider Demographics
NPI:1932346863
Name:SPIRIT OF THE WORD EVANGALISTIC OUTREACH MINISTRIES
Entity type:Organization
Organization Name:SPIRIT OF THE WORD EVANGALISTIC OUTREACH MINISTRIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PASTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:WINSTON
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:713-742-6811
Mailing Address - Street 1:PO BOX 10449
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77206-0449
Mailing Address - Country:US
Mailing Address - Phone:713-742-6811
Mailing Address - Fax:
Practice Address - Street 1:706 CURTIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-2106
Practice Address - Country:US
Practice Address - Phone:713-742-6811
Practice Address - Fax:713-742-6812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services