Central Mississippi Residential Center
NPI #1922262708 in Newton, Mississippi
Provider Information
- NPI Number
- 1922262708
- Entity Type
- Organization
- Organization Name
- Central Mississippi Residential Center
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Jul 11, 2008
- Last Updated
- Jul 11, 2008
Practice Location
- Address
- 701 NORTHSIDE DRIVE
- City
- Newton
- State
- Mississippi
- ZIP Code
- 39345-0470
- Phone
- (601) 683-4200
Authorized Official
- Name
- MRS. DEBBIE J FERGUSON
- Title
- FACILITY DIRECTOR
- Phone
- (601) 683-4201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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