| The Grove Behavorial Health Services, Inc | |
|
109 E Lafayette St Jackson TN 38301-6203 | |
| (731) 300-4232 | |
| Not Available |
| Full Name | The Grove Behavorial Health Services, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 109 E Lafayette St, Jackson, Tennessee |
| Authorized Official Name and Position | Damien Nethery (PRESIDENT) |
| Authorized Official Contact | 7313004232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Grove Behavorial Health Services, Inc 109 E Lafayette St Jackson TN 38301-6203 Ph: () - | The Grove Behavorial Health Services, Inc 109 E Lafayette St Jackson TN 38301-6203 Ph: (731) 300-4232 |
| NPI Number | 1366009441 |
|---|---|
| Provider Enumeration Date | 05/23/2019 |
| Last Update Date | 05/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366009441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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