| Xesus House Of Prayer, Inc. | |
|
300 International Dr Suite 117 Williamsville NY 14221-5781 | |
| (585) 343-1681 | |
| (120) 836-1866 |
| Full Name | Xesus House Of Prayer, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 300 International Dr, Williamsville, New York |
| Authorized Official Name and Position | Jerica Jalane Barber (CEO, BOARD DIRECTOR) |
| Authorized Official Contact | 5853431681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Xesus House Of Prayer, Inc. 300 International Dr Suite 117 Williamsville NY 14221-5781 Ph: (585) 343-1681 | Xesus House Of Prayer, Inc. 300 International Dr Suite 117 Williamsville NY 14221-5781 Ph: (585) 343-1681 |
| NPI Number | 1619348208 |
|---|---|
| Provider Enumeration Date | 10/08/2015 |
| Last Update Date | 10/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619348208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LMHC 006357;RN537485 (New York) | Primary |
| 251V00000X | Voluntary Or Charitable | LMHC 006357;RN537485 (New York) | Secondary |
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