institution
Northeast Mental Health-mental Retardation Commission
Rural Health Clinic/Center in Tupelo, Mississippi
NPI 1679903546

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 1679903546 and holds a License No. (Mississippi).

The current practice location address for Northeast Mental Health-mental Retardation Commission is 499 Gloster Creek Vlg, 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: 662-640-4595).

Location: 499 Gloster Creek Vlg, Tupelo, MS, 38804-6942
institution
Provider Profile Details
NPI Number
1679903546
Provider Name
Northeast Mental Health-mental Retardation Commission
Credential
Provider Entity Type
Organization
Address
499 Gloster Creek Vlg, Tupelo, MS, 38804-6942
Phone Number
662-844-1717
Fax Number
662-680-6416
Provider Enumeration Date
11/13/2013
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0000000 05 MS
0000 01 MS BLUE CROSS
000 05 MS
institution
Provider Business Practice Location Address Details
Address
499 Gloster Creek Vlg
City
State
Zip
38801-4600
Phone Number
662-844-1717
Fax Number
662-680-6416
person
Provider Business Mailing Address Details
Address
499 Gloster Creek Vlg
City
State
Zip
38801-4600
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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