East Mississippi State Hospital
NPI #1710730924 in Newton, Mississippi
Provider Information
- NPI Number
- 1710730924
- Entity Type
- Organization
- Organization Name
- East Mississippi State Hospital
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EAST MISSISSIPPI STATE HOSPITAL
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Apr 8, 2024
- Last Updated
- Apr 8, 2024
Practice Location
- Address
- 701 NORTHSIDE DR
- City
- Newton
- State
- Mississippi
- ZIP Code
- 39345-2361
- Phone
- (601) 683-4200
Authorized Official
- Name
- MRS. DONNA CREEKMORE
- Title
- ASSISTANT PROGRAM DIRECTOR/BUSINESS
- Phone
- (601) 581-7919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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