Organization
TUPELO CHILDREN'S MANSION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD ALLEN PARKER DSW, LMSW, LPC (PRESIDENT)
(662) 842-6982
Entity
Organization
Contact information
Practice address
1801 E MAIN ST, TUPELO, MS 38804-2934
(662) 842-6982
Mailing address
1801 E MAIN ST, TUPELO, MS 38804-2934
(662) 842-6982
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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