Organization
FAMILY FIRST BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYN T DAVIS LCSW (CEO)
(601) 923-6401
Entity
Organization
Contact information
Practice address
4848 MAIN ST, FLORA, MS 39071-9515
(601) 923-6401
Mailing address
434 SYLVAN TRL, CLINTON, MS 39056-2001
(601) 923-6401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C5492
MS
Other
Enumeration date
11/26/2012
Last updated
11/28/2012
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