Community Mental Health Clinic, LLC
NPI #1871358184 in Pearl, Mississippi
Provider Information
- NPI Number
- 1871358184
- Entity Type
- Organization
- Organization Name
- Community Mental Health Clinic, LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Feb 15, 2024
- Last Updated
- Feb 15, 2024
Practice Location
- Address
- 200 SAINT PAUL ST
- City
- Pearl
- State
- Mississippi
- ZIP Code
- 39208-5134
- Phone
- (601) 665-7983
Authorized Official
- Name
- LATONYA JATON MCGOWAN, NP
- Title
- OWNER
- Phone
- (601) 665-7983
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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