NPI 1619579232
Bishops
Practice location
- Address
- 2979c Sylvania Rd, Vernon, FL 32462-3322
- Phone
- (850) 625-4220
Authorised official
- Name
- La'Shawn C Peterson
- Title
- President
- Phone
- (850) 625-4220
Registered specialties (4)
Religious Nonmedical Health Care Institution
Primary
Pastoral Counselor
Community/Behavioral Health Agency
Voluntary or Charitable Agency
Registry record
- NPI
- 1619579232
- Entity type
- Organization
- NPI issued
- 9 Nov 2020
- Record last updated
- 9 Nov 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.