Organization
THE GROVE BEHAVORIAL HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMIEN NETHERY (PRESIDENT)
(731) 300-4232
Entity
Organization
Contact information
Practice address
109 E LAFAYETTE ST, JACKSON, TN 38301-6203
(731) 300-4232
Mailing address
109 E LAFAYETTE ST, JACKSON, TN 38301-6203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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