Organization
PETERKIN AND ASSOCIATES OF MISSISSIPPI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICE SMITH ED.D (CEO)
(910) 759-9472
Entity
Organization
Contact information
Practice address
5155 GALAXIE DR STE F, JACKSON, MS 39206-4309
(910) 759-9472
Mailing address
5155 GALAXIE DR STE F, JACKSON, MS 39206-4309
(910) 759-9472
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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