Central Mississippi Prevention Services INC
NPI #1942478144 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1942478144
- Entity Type
- Organization
- Organization Name
- Central Mississippi Prevention Services INC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 11, 2008
- Last Updated
- Feb 11, 2008
Practice Location
- Address
- 1911 MISSION 66 STE B
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-3762
- Phone
- (601) 631-0102
Authorized Official
- Name
- JOSEPH DANIEL JOHNSON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (601) 631-0102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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