SW Ms Mental Health Mental Retardation Commission
NPI #1184662694 in Mccomb, Mississippi
Provider Information
- NPI Number
- 1184662694
- Entity Type
- Organization
- Organization Name
- SW Ms Mental Health Mental Retardation Commission
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jun 4, 2006
- Last Updated
- Apr 6, 2023
Practice Location
- Address
- 1701 WHITE ST
- City
- Mccomb
- State
- Mississippi
- ZIP Code
- 39648
- Phone
- (601) 684-2173
Authorized Official
- Name
- MONTAVIA DORSEY
- Title
- CREDENTIALING MGR
- Phone
- (601) 249-4235
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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