# CALEB MOUNTAIN CLIMBING WHOLISTIC INTERNATIONAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Solid-Rock Comprehensive Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487201372
- **Authorized official:** DR. BRIDGET Y TAH-CLAYTON DO (OWNER)
- **Authorized official phone:** (601) 606-5771

## Contact information

- **Practice address:** 610 ADELINE ST STE 1A, HATTIESBURG, MS 39401-3875
- **Practice address phone:** (601) 606-5771
- **Practice address fax:** (800) 489-0211
- **Mailing address:** 610 ADELINE ST STE 1A, HATTIESBURG, MS 39401-3875
- **Mailing address phone:** (601) 606-5771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/24/2019
- **Last updated:** 08/24/2019