institution
Warren Yazoo Mental Health Service
Mental Health Clinic/Center (Including Community Mental Health Center) in Vicksburg, Mississippi
NPI 1023002920

Warren Yazoo Mental Health Service is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Vicksburg, MS and is specialized in Mental Health (Including Community Mental Health Center). Warren Yazoo Mental Health Service practices in Vicksburg, MS. The NPI Number for Warren Yazoo Mental Health Service is 1023002920 and holds a License No. R15-1 (Mississippi).

The current practice location address for Warren Yazoo Mental Health Service is 3444 Wisconsin Ave, Vicksburg, MS and can be reached out via phone at 601-638-0031 and via fax at 601-634-0234. You can also correspond with Warren Yazoo Mental Health Service through the mailing address at 3444 WISCONSIN AVE, VICKSBURG, MS - 39180-5331 (mailing address contact number: 601-638-0031).

Location: 3444 Wisconsin Ave, Vicksburg, MS, 39180-5331
institution
Provider Profile Details
NPI Number
1023002920
Provider Name
Warren Yazoo Mental Health Service
Credential
Provider Entity Type
Organization
Address
3444 Wisconsin Ave, Vicksburg, MS, 39180-5331
Phone Number
601-638-0031
Fax Number
601-634-0234
Provider Enumeration Date
09/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00018215 05 MS
00770336 05 MS
institution
Provider Business Practice Location Address Details
Address
3444 Wisconsin Ave
City
State
Zip
39180-5331
Phone Number
601-638-0031
Fax Number
601-634-0234
person
Provider Business Mailing Address Details
Address
3444 Wisconsin Ave
City
State
Zip
39180-5331
Phone Number
601-638-0031
Fax Number
601-634-0234
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
R15-1 (Mississippi)
Definition
Definition to come...
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