Caleb Mountain Climbing Wholistic International Center LLC

NPI #1487201372 in Hattiesburg, Mississippi

Provider Information

NPI Number: 1487201372
Entity Type: Organization
Organization Name: Caleb Mountain Climbing Wholistic International Center LLC
Primary Specialty: Clinic/Center - Multi-Specialty
Enumeration Date: Aug 24, 2019
Last Updated: Aug 24, 2019

Practice Location

Address: 610 ADELINE ST STE 1A
City: Hattiesburg
State: Mississippi
ZIP Code: 39401-3875
Phone: (601) 606-5771

Authorized Official

Name: DR. BRIDGET Y TAH-CLAYTON, DO
Title: OWNER
Phone: (601) 606-5771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X	Primary

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