Region IV
NPI #1003243965 in Batesville, Mississippi
Provider Information
- NPI Number
- 1003243965
- Entity Type
- Organization
- Organization Name
- Region IV
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Oct 8, 2013
- Last Updated
- Oct 8, 2013
Practice Location
- Address
- 120 RANDY HENDRIX DR
- City
- Batesville
- State
- Mississippi
- ZIP Code
- 38606-7664
- Phone
- (662) 563-9176
Authorized Official
- Name
- LARA JAMES HAYES, M.ED
- Title
- THERAPIST
- Phone
- (662) 563-9176
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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