Provider Demographics
NPI:1679713846
Name:CAL'S OUTREACH MINISTRY
Entity type:Organization
Organization Name:CAL'S OUTREACH MINISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRPERSON
Authorized Official - Prefix:MR
Authorized Official - First Name:ALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-721-8604
Mailing Address - Street 1:9325 MEYERS RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48228-2608
Mailing Address - Country:US
Mailing Address - Phone:734-721-8604
Mailing Address - Fax:734-721-8604
Practice Address - Street 1:6285 WAYNE RD
Practice Address - Street 2:
Practice Address - City:ROMULUS
Practice Address - State:MI
Practice Address - Zip Code:48174-1756
Practice Address - Country:US
Practice Address - Phone:734-721-8604
Practice Address - Fax:734-721-8604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-02
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable