| God's House International, Inc. | |
|
3005 Lake Ave Altadena CA 91001-1647 | |
| (626) 437-0919 | |
| Not Available |
| Full Name | God's House International, Inc. |
|---|---|
| Speciality | Counselor - Pastoral |
| Location | 3005 Lake Ave, Altadena, California |
| Authorized Official Name and Position | Mark Mack Threats (PRESIDENT) |
| Authorized Official Contact | 6264370919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| God's House International, Inc. 3005 Lake Ave Altadena CA 91001-1647 Ph: (626) 437-0919 | God's House International, Inc. 3005 Lake Ave Altadena CA 91001-1647 Ph: (626) 437-0919 |
| NPI Number | 1184495947 |
|---|---|
| Provider Enumeration Date | 01/11/2024 |
| Last Update Date | 01/11/2024 |
| Certification Date | 01/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184495947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Primary |
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