| Community Care Group Llc | |
|
54 E Franklin St Natchez MS 39120-3665 | |
| (601) 597-4729 | |
| Not Available |
| Full Name | Community Care Group Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 54 E Franklin St, Natchez, Mississippi |
| Authorized Official Name and Position | Jasmine Sproulls (CEO) |
| Authorized Official Contact | 6015974729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care Group Llc Po Box 522 Natchez MS 39121-0522 Ph: (601) 597-4729 | Community Care Group Llc 54 E Franklin St Natchez MS 39120-3665 Ph: (601) 597-4729 |
| NPI Number | 1164071981 |
|---|---|
| Provider Enumeration Date | 09/04/2019 |
| Last Update Date | 09/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164071981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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