Organization · Type 2 NPI
Region IV Mental Health
Mental Health Clinic/Center (Including Community Mental Health Center) · Booneville, MS
NPI number
1487984407
Active
Practice location
2301C East Chambers Dr
Booneville, MS 38829-8903
Fax (662) 720-4832
Mailing address
PO Box 839
Corinth, MS 38835-0839
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
About NPI 1487984407
Region IV Mental Health's National Provider Identifier is 1487984407, issued on Jan 14, 2010. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Booneville, MS. The record was last updated on Nov 23, 2016.