institution
Northeast Mental Health-mental Retardation Commission
Rural Health Clinic/Center in Tupelo, Mississippi
NPI 1548413628

Northeast Mental Health-mental Retardation Commission is a Rural Health Clinic/Center based in Tupelo, MS and is specialized in Rural Health. Northeast Mental Health-mental Retardation Commission practices in Tupelo, MS. The NPI Number for Northeast Mental Health-mental Retardation Commission is 1548413628 and holds a License No. (Mississippi).

The current practice location address for Northeast Mental Health-mental Retardation Commission is 2434 S Eason Blvd, Tupelo, MS and can be reached out via phone at 662-844-1717 and via fax at 662-680-6416. You can also correspond with Northeast Mental Health-mental Retardation Commission through the mailing address at 2434 S EASON BLVD, TUPELO, MS - 38804-6942 (mailing address contact number: 662-844-1717).

Location: 2434 S Eason Blvd, Tupelo, MS, 38804-6942
institution
Provider Profile Details
NPI Number
1548413628
Provider Name
Northeast Mental Health-mental Retardation Commission
Credential
Provider Entity Type
Organization
Address
2434 S Eason Blvd, Tupelo, MS, 38804-6942
Phone Number
662-844-1717
Fax Number
662-680-6416
Provider Enumeration Date
11/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04329807 05 MS
07453596 05 MS
institution
Provider Business Practice Location Address Details
Address
2434 S Eason Blvd
City
State
Zip
38804-6942
Phone Number
662-844-1717
Fax Number
662-680-6416
person
Provider Business Mailing Address Details
Address
2434 S Eason Blvd
City
State
Zip
38804-6942
Phone Number
662-844-1717
Fax Number
662-680-6416
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
()
Definition
Definition to come...
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