| Organization Name: | SASSAFRAS HILL COUNSELING CENTER, INC |
| NPI Number: | 1982769675 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EVELYN L OSBORN (PRESIDENT) |
| Mailing Address: | 4824 Old Highway 11 Purvis |
| State: | MS US |
| Postal Code: | 394753567 |
| Phone Number: | 6012649515 |
| Fax Number: | 6012716026 |
| NPI Enumeration Date: | 12/24/2006 |
| NPI Last Update Date: | 11/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |