| NPI Details | |
|---|---|
| NPI | 1154601219 |
| Enumeration Date | 08/22/2011 |
| Last Updated | 08/22/2011 |
| Entity Type | Healthcare Provider |
| Active | Over 6 years ago |
| Authorized Information | |
|---|---|
| Name | CHARIE D CHARIE |
| Position | EXECUTIVE DIRECTOR |
| Phone | (662) 286-9883 |
| Fax | (662) 284-9836 |
| Practice Location | |
|---|---|
| 303 N MADISON ST CORINTH MS, 38834-5072, US |
|
| Phone | (662) 286-9883 |
| Fax | (662) 284-9836 |
| Business Location | |
|---|---|
| 303 N MADISON ST CORINTH MS, 38834-5072, US |
|
| Phone | (662) 286-9883 |
| Fax | (662) 284-9836 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 251S00000X |
| License State | |
| License Number | |
| Remove 1154601219 NPI Number | |
According to our database, Region Iv Mental Health Services NPI is 1154601219, taxonomy code is 251S00000X Region Iv Mental Health Services physically located at 303 N Madison St, Corinth MS, 38834-5072. NPI Number 1033115704 has the healthcare provider type.
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1154601219 NPI number is provided on an as is basis without warranty of any kind. 1154601219 is maintained by the National Plan & Provider Enumeration System. The contents of Region Iv Mental Health Services are for informational purposes only.
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