institution
Northeast Mental Health/mental Retardation Commission
Mental Health Clinic/Center (Including Community Mental Health Center) in Tupelo, Mississippi
NPI 1801828496

Northeast Mental Health/mental Retardation Commission is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Tupelo, MS and is specialized in Mental Health (Including Community Mental Health Center). Northeast Mental Health/mental Retardation Commission practices in Tupelo, MS. The NPI Number for Northeast Mental Health/mental Retardation Commission is 1801828496 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 662-640-4695 and via fax at 662-680-6416.

Location: 2434 S Eason Blvd, Tupelo, MS, 38804-6942
institution
Provider Profile Details
NPI Number
1801828496
Provider Name
Northeast Mental Health/mental Retardation Commission
Credential
Provider Entity Type
Organization
Address
2434 S Eason Blvd, Tupelo, MS, 38804-6942
Phone Number
662-640-4695
Fax Number
662-680-6416
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00018203 05 MS
institution
Provider Business Practice Location Address Details
Address
2434 S Eason Blvd
City
State
Zip
38804-6942
Phone Number
662-640-4695
Fax Number
662-680-6416
person
Provider Business Mailing Address Details
Address
2434 S Eason Blvd
City
State
Zip
38804-6942
Phone Number
662-640-4695
Fax Number
662-680-6416
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.
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Definition
Definition to come...
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