Southaven Services
NPI #1003218058 in Southaven, Mississippi
Provider Information
- NPI Number
- 1003218058
- Entity Type
- Organization
- Organization Name
- Southaven Services
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- REGION IV MENTAL HEALTH SERVICES
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 22, 2014
- Last Updated
- Sep 22, 2014
Practice Location
- Address
- 1326 GOODMAN RD E
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38671-9542
- Phone
- (662) 536-3132
Authorized Official
- Name
- MR. CHARLIE D SPEARMAN SR.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (662) 287-9883
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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