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Organization
MISSISSIPPI CARE, LLC
Active
Organization
MISSISSIPPI CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYLEME O HARRISON MD (CEO)
(919) 423-0267
Entity
Organization
Contact information
Practice address
100 W AMITE ST, JACKSON, MS 39201-1203
(919) 423-0267
Mailing address
6026 SIX FORKS RD, RALEIGH, NC 27609-3899
(919) 423-0267
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261Q00000X
Clinic/Center
Primary
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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