Southwest Mississippi Mental Health Mental Retardation Commission
NPI #1366694820 in Mccomb, Mississippi
Provider Information
- NPI Number
- 1366694820
- Entity Type
- Organization
- Organization Name
- Southwest Mississippi Mental Health Mental Retardation Commission
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SOUTHWEST MISSISSIPPI MENTAL HEALTH MENTAL RETARDATION COMMISSION
- Primary Specialty
- Social Worker
- Enumeration Date
- Oct 16, 2008
- Last Updated
- Jun 16, 2009
Practice Location
- Address
- 1701 WHITE ST
- City
- Mccomb
- State
- Mississippi
- ZIP Code
- 39648-2711
- Phone
- (601) 684-2173
Authorized Official
- Name
- JAMES STEVEN ELLIS, PHD
- Title
- EXECUTIVE DIRECTOR
- Phone
- (601) 684-2173
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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