institution
South Mississippi Regional Center
Mental Health Clinic/Center (Including Community Mental Health Center) in Long Beach, Mississippi
NPI 1629392774

South Mississippi Regional Center is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Long Beach, MS and is specialized in Mental Health (Including Community Mental Health Center). South Mississippi Regional Center practices in Long Beach, MS. The NPI Number for South Mississippi Regional Center is 1629392774 and holds a License No. 311 (Mississippi).

The current practice location address for South Mississippi Regional Center is 1170 W Railroad St, Long Beach, MS and can be reached out via phone at 228-867-1348 and via fax at 228-214-5563.

Location: 1170 W Railroad St, Long Beach, MS, 39560-4106
institution
Provider Profile Details
NPI Number
1629392774
Provider Name
South Mississippi Regional Center
Credential
Provider Entity Type
Organization
Address
1170 W Railroad St, Long Beach, MS, 39560-4106
Phone Number
228-867-1348
Fax Number
228-214-5563
Provider Enumeration Date
03/18/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09555710 01 MS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1170 W Railroad St
City
State
Zip
39560-4106
Phone Number
228-867-1348
Fax Number
228-214-5563
person
Provider Business Mailing Address Details
Address
1170 W Railroad St
City
State
Zip
39560-4106
Phone Number
228-867-1348
Fax Number
228-214-5563
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.
311 (Mississippi)
Definition
Definition to come...
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