Region IV Elderly Outpatient Psychosocial Desoto

NPI #1659786887 in Southaven, Mississippi

Provider Information

NPI Number
1659786887
Entity Type
Organization
Organization Name
Region IV Elderly Outpatient Psychosocial Desoto
Subpart
Yes (part of a larger organization)
Parent Organization
REGION IV MENTAL HEALTH SERVICES
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jun 26, 2014
Last Updated
Jun 26, 2014

Practice Location

Address
915 FERNCLIFF CV
Address 2
SUITE 1A
ZIP Code
38671-2420
Phone
(662) 449-1971

Authorized Official

Name
MR. CHARLIE D SPEARMAN SR.
Title
EXECUTIVE DIRECTOR
Phone
(662) 287-9883

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

Similar Providers

Provider Name
Southaven Services

Part of Region IV Mental Health Services

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