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Organization
PANTHER CREEK FOUNDATION
Active
Organization
PANTHER CREEK FOUNDATION
Active
Other names
Panther Creek Health
Organization subpart
No
Provider details
NPI number
Authorized official
MYLISSA HORROCKS MPH (EXECUTIVE DIRECTOR)
(901) 574-1740
Entity
Organization
Contact information
Practice address
5750 CONGER RD, NESBIT, MS 38651-8898
(662) 912-5440
Mailing address
2531 SHILLINGFORD DR, MEMPHIS, TN 38119-7820
(901) 574-1740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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