| Sunnybrook Children's Home, Inc. | |
|
222 Sunnybrook Rd Ridgeland MS 39157-2205 | |
| (769) 972-2934 | |
| (601) 856-6555 |
| Full Name | Sunnybrook Children's Home, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 222 Sunnybrook Rd, Ridgeland, Mississippi |
| Authorized Official Name and Position | Kenneth Spansel (PROGRAM DIRECTOR) |
| Authorized Official Contact | 6018566555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunnybrook Children's Home, Inc. Po Box 4871 Jackson MS 39296-4871 Ph: (601) 856-6555 | Sunnybrook Children's Home, Inc. 222 Sunnybrook Rd Ridgeland MS 39157-2205 Ph: (769) 972-2934 |
| NPI Number | 1902440209 |
|---|---|
| Provider Enumeration Date | 10/30/2019 |
| Last Update Date | 10/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902440209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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