West Mississippi Behavioral Service, LLC
NPI #1952047391 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1952047391
- Entity Type
- Organization
- Organization Name
- West Mississippi Behavioral Service, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- May 9, 2022
- Last Updated
- May 9, 2022
Practice Location
- Address
- 3201 WISCONSIN AVE
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-5350
- Phone
- (601) 636-8006
Authorized Official
- Name
- DR. DANIEL P EDNEY, MD
- Title
- OWNER / LLC MEMBER
- Phone
- (601) 831-2750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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