South Mississippi Regional Center

NPI #1629392774 in Long Beach, Mississippi

Provider Information

NPI Number
1629392774
Entity Type
Organization
Organization Name
South Mississippi Regional Center
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Mar 18, 2010
Last Updated
Mar 18, 2010

Practice Location

Address
1170 W RAILROAD ST
ZIP Code
39560-4106
Phone
(228) 867-1348

Authorized Official

Name
MRS. JOANNA WHALEY
Title
BENEFIT SPECIALIST
Phone
(228) 867-1348

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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