Region Ten State of Ms

NPI #1366093791 in Meridian, Mississippi

Provider Information

NPI Number
1366093791
Entity Type
Organization
Organization Name
Region Ten State of Ms
Subpart
Yes (part of a larger organization)
Parent Organization
REGION TEN STATE OF MS
Primary Specialty
Clinic/Center - Adolescent and Children Mental Health
Enumeration Date
Sep 26, 2019
Last Updated
Sep 26, 2019

Practice Location

Address
832 HIGHWAY 19 N STE 510
ZIP Code
39307-5876
Phone
(601) 483-4821

Authorized Official

Name
LORI WALTON
Title
CFO
Phone
(601) 483-4821

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health

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Provider Name
Region Ten Commission On Mental Health

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