Your Family Clinic LLC
NPI #1891192068 in Petal, Mississippi
Provider Information
- NPI Number
- 1891192068
- Entity Type
- Organization
- Organization Name
- Your Family Clinic LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 3, 2014
- Last Updated
- Dec 3, 2014
Practice Location
- Address
- 514 OLD RICHTON RD
- City
- Petal
- State
- Mississippi
- ZIP Code
- 39465-2920
- Phone
- (601) 544-8935
Authorized Official
- Name
- DANIEL TAMOUR MOORE, PH.D.
- Title
- OWNER
- Phone
- (601) 544-8935
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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