Full Name | |
---|---|
Speciality | Counselor |
Location | 5611 Highway 80 E, Pearl, Mississippi |
Authorized Official Name and Position | Perry Sanderford (DIRECTOR) |
Authorized Official Contact | 6019396634 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
5611 Highway 80 E Pearl MS 39208 Ph: (601) 939-6634 | 5611 Highway 80 E Pearl MS 39208 Ph: (601) 939-6634 |
NPI Number | 1114962560 |
---|---|
Provider Enumeration Date | 06/19/2006 |
Last Update Date | 07/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114962560 | NPI | - | NPPES |
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