Organization
YOUTH CHALLENGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON RAY PULSIFER (DIRECTOR)
(662) 240-9788
Entity
Organization
Contact information
Practice address
519 ALABAMA ST, COLUMBUS, MS 39702-5305
(662) 240-9788
(662) 240-9789
Mailing address
519 ALABAMA ST, COLUMBUS, MS 39702-5305
(662) 240-9788
(662) 240-9789
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05536560
—
MS
Enumeration date
11/16/2007
Last updated
11/16/2007
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