Organization
COMMUNITY LIVING IN MISSISSIPPI - BADDOUR
Active
Other names
CLIMB
Organization subpart
No
Provider details
NPI number
Authorized official
PARKE PEPPER (CHAIRPERSON)
(662) 689-0501
Entity
Organization
Contact information
Practice address
3297 HIGHWAY 51 S, SENATOBIA, MS 38668-2926
(662) 689-0501
Mailing address
PO BOX 97, SENATOBIA, MS 38668-0097
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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