Region IV Mental Health Services Light House
NPI #1598190720 in Corinth, Mississippi
Provider Information
- NPI Number
- 1598190720
- Entity Type
- Organization
- Organization Name
- Region IV Mental Health Services Light House
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 6, 2013
- Last Updated
- Sep 6, 2013
Practice Location
- Address
- 2105 PROPER ST
- Address 2
- CORINTH
- City
- Corinth
- State
- Mississippi
- ZIP Code
- 38834-5247
- Phone
- (662) 286-7084
Authorized Official
- Name
- MR. CHARLIE SPEARMAN SR.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (662) 286-9883
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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