# YOU MATTER ADOLESCENT WOMEN CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710447982
- **Authorized official:** JENNIFER BOOSE (CNP)
- **Authorized official phone:** (662) 751-8847

## Contact information

- **Practice address:** 3089 S LIBERTY ST, CANTON, MS 39046-9224
- **Practice address phone:** (601) 813-5249
- **Mailing address:** 3089 S LIBERTY ST, CANTON, MS 39046-9224
- **Mailing address phone:** (601) 813-5249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/22/2019
- **Last updated:** 03/22/2019