Viner Counseling Center

NPI 1841484490 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1841484490
Enumeration Date 08/28/2007
Last Updated 08/28/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RUSSELL SHANE RUSSELL
Position CEO
Phone (662) 226-3762
Fax
Practice Location
501 SOUTHWEST FRONTAGE RD
GRENADA MS, 38901, US
Phone (662) 226-3762
Fax
Business Location
PO BOX 1251
GRENADA MS, 38902-1251, US
Phone (662) 226-3762
Fax
Toxanomy
Taxonomy Code 251S00000X
License State Mississippi
License Number 0563
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According to our database, Viner Counseling Center NPI is 1841484490, taxonomy code is 251S00000X and license number is 0563, license state is located at Mississippi. Viner Counseling Center physically located at 501 Southwest Frontage Rd, Grenada MS, 38901. NPI Number 1033115704 has the healthcare provider type.

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1841484490 NPI number is provided on an as is basis without warranty of any kind. 1841484490 is maintained by the National Plan & Provider Enumeration System. The contents of Viner Counseling Center are for informational purposes only.