| Organization Name: | RANKIN BAPTIST ASSOCIATION |
| NPI Number: | 1386921500 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PERRY SANDERFORD (DIRECTOR) |
| Mailing Address: | 5611 Highway 80 E. Pearl |
| State: | MS US |
| Postal Code: | 39208 |
| Phone Number: | 6019396634 |
| Fax Number: | |
| NPI Enumeration Date: | 11/16/2011 |
| NPI Last Update Date: | 11/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 373 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |