Organization
SOUTHERN FOUNDATION FOR HOMELESS CHILDREN
Active
Other names
Paul's Home for Children
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GWENDOLYN GRAY (CEO)
(662) 328-4736
Entity
Organization
Contact information
Practice address
688 PLEASANT RIDGE RD, STURGIS, MS 39769-6620
(662) 328-4736
Mailing address
688 PLEASANT RIDGE RD, STURGIS, MS 39769-6620
(662) 328-4736
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
130920217
MS
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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