Provider Demographics
NPI:1780011205
Name:COMMUNITY STUDENTS LEARNING CENTER
Entity Type:Organization
Organization Name:COMMUNITY STUDENTS LEARNING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEULAH
Authorized Official - Middle Name:F
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-834-0905
Mailing Address - Street 1:333 YAZOO ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MS
Mailing Address - Zip Code:39095-3644
Mailing Address - Country:US
Mailing Address - Phone:662-834-0905
Mailing Address - Fax:662-834-0906
Practice Address - Street 1:333 YAZOO ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MS
Practice Address - Zip Code:39095-3644
Practice Address - Country:US
Practice Address - Phone:662-834-0905
Practice Address - Fax:662-834-0906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-29
Last Update Date:2013-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management