institution
Pine Grove Behavioral Health Healthcare Human Resources
Private Vehicle in Hattiesburg, Mississippi
NPI 1255924346

Pine Grove Behavioral Health Healthcare Human Resources is a Private Vehicle based in Hattiesburg, MS. Pine Grove Behavioral Health Healthcare Human Resources practices in Hattiesburg, MS. The NPI Number for Pine Grove Behavioral Health Healthcare Human Resources is 1255924346 and holds a License No. (Mississippi).

The current practice location address for Pine Grove Behavioral Health Healthcare Human Resources is 2255 Broadway Dr, Hattiesburg, MS and can be reached out via phone at 601-288-2273.

Location: 2255 Broadway Dr, Hattiesburg, MS, 39402-3254
institution
Provider Profile Details
NPI Number
1255924346
Provider Name
Pine Grove Behavioral Health Healthcare Human Resources
Credential
Provider Entity Type
Organization
Address
2255 Broadway Dr, Hattiesburg, MS, 39402-3254
Phone Number
601-288-2273
Fax Number
Provider Enumeration Date
02/19/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
800347 01 MS HEALTHCARE EMPLOYER PROVIDER
institution
Provider Business Practice Location Address Details
Address
2255 Broadway Dr
City
State
Zip
39402-3254
Phone Number
601-288-2273
Fax Number
person
Provider Business Mailing Address Details
Address
2255 Broadway Dr
City
State
Zip
39402-3254
Phone Number
601-288-2273
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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