Diamond Grove Center
NPI #1770617086 in Louisville, Mississippi
Provider Information
- NPI Number
- 1770617086
- Entity Type
- Organization
- Organization Name
- Diamond Grove Center
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Mar 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2311 HIGHWAY 15 S
- City
- Louisville
- State
- Mississippi
- ZIP Code
- 39339-7071
- Phone
- (662) 779-0119
Authorized Official
- Name
- BRENDA SMITH
- Title
- BUSINESS OFFICE DIRECTOR
- Phone
- (601) 581-9906
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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