| Father's Child Ministry | |
|
104 Brickerton St Columbus MS 39701-3608 | |
| (662) 328-3110 | |
| (662) 328-3135 |
| Full Name | Father's Child Ministry |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 104 Brickerton St, Columbus, Mississippi |
| Authorized Official Name and Position | Edward L Yeates (CEO) |
| Authorized Official Contact | 6623283110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Father's Child Ministry 104 Brickerton St Columbus MS 39701-3608 Ph: (662) 328-3110 | Father's Child Ministry 104 Brickerton St Columbus MS 39701-3608 Ph: (662) 328-3110 |
| NPI Number | 1083076418 |
|---|---|
| Provider Enumeration Date | 03/24/2016 |
| Last Update Date | 03/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083076418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1836 (Mississippi) | Primary |
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