Region IV Elderly Outpatient Psychosocial

NPI #1952715757 in Ripley, Mississippi

Provider Information

NPI Number
1952715757
Entity Type
Organization
Organization Name
Region IV Elderly Outpatient Psychosocial
Subpart
Yes (part of a larger organization)
Parent Organization
REGION IV MENTAL HEALTH SERVICES
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jun 19, 2014
Last Updated
Jun 19, 2014

Practice Location

Address
529 E WALNUT ST
City
Ripley
ZIP Code
38663-2258
Phone
(662) 837-8122

Authorized Official

Name
MR. CHARLIE D SPEARMAN SR.
Title
EXECUTIVE DIRECTOR
Phone
(662) 286-9883

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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