Mississippi Band Of Choctaw Indians
Art Therapist in Choctaw, MS. Organization (NPI-2).
NPI number1548093545
StatusActive
Last updated in NPPESSep 23, 2024
Details
- NPI
- 1548093545
- Entity type
- Organization (NPI-2)
- Legal business name
- Mississippi Band Of Choctaw Indians
- Organization subpart
- No
- Enumeration date
- Aug 23, 2024
- Certification date
- Sep 23, 2024
- Last updated
- Sep 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 221700000X | Art Therapist | – | – | Yes |
Other names
- Choctaw Health Center (Doing Business As)
Practice location
210 Hospital CirChoctaw, MS 39350-6781
Phone 601-389-4147
Mailing address
210 Hospital CirChoctaw, MS 39350-6781
Phone 601-389-4147
Authorized official
Alexis Nicole Pyawasit-Vaughn
Expressive Art Specialist
6013894150
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