Region Iv Mental Health Services-sunny Road Office

NPI 1154756385 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1154756385
Enumeration Date 09/06/2013
Last Updated 09/06/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name CHARLIE CHARLIE
Position EXECUTIVE DIRECTOR
Phone (662) 393-4789
Fax (662) 393-4789
Practice Location
8237 SWINNEA RD
SOUTHAVEN MS, 38671-4934, US
Phone (662) 393-4789
Fax (662) 393-4789
Business Location
PO BOX 839
CORINTH MS, 38835-0839, US
Phone (662) 286-9883
Fax (662) 286-9836
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Region Iv Mental Health Services-sunny Road Office NPI is 1154756385, taxonomy code is 251S00000X Region Iv Mental Health Services-sunny Road Office physically located at 8237 Swinnea Rd, Southaven MS, 38671-4934. NPI Number 1033115704 has the healthcare provider type.

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1154756385 NPI number is provided on an as is basis without warranty of any kind. 1154756385 is maintained by the National Plan & Provider Enumeration System. The contents of Region Iv Mental Health Services-sunny Road Office are for informational purposes only.