| Child Abuse Education Council Of Pearl River County, Inc. | |
|
120 Street A Suite C Picayune MS 39466-5466 | |
| (601) 799-5886 | |
| Not Available |
| Full Name | Child Abuse Education Council Of Pearl River County, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 120 Street A, Picayune, Mississippi |
| Authorized Official Name and Position | Deloris H. Tatom (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 6017995886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Abuse Education Council Of Pearl River County, Inc. Po Box 1789 Picayune MS 39466-1789 Ph: (601) 799-5886 | Child Abuse Education Council Of Pearl River County, Inc. 120 Street A Suite C Picayune MS 39466-5466 Ph: (601) 799-5886 |
| NPI Number | 1649288291 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 11/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649288291 | NPI | - | NPPES |
| 09015605 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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