Organization
FATHER'S CHILD MINISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD L YEATES LPC (CEO)
(662) 328-3110
Entity
Organization
Contact information
Practice address
104 BRICKERTON ST, COLUMBUS, MS 39701-3608
(662) 328-3110
(662) 328-3135
Mailing address
104 BRICKERTON ST, COLUMBUS, MS 39701-3608
(662) 328-3110
(662) 328-3135
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1836
MS
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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