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Organization
REGION SEVEN MENTAL HEALTH INTELLECTUAL DISABILITIES COMM
Active
Organization
REGION SEVEN MENTAL HEALTH INTELLECTUAL DISABILITIES COMM
Active
Other names
CCS CLIENT PHARMACY, COMMUNITY COUNSELING SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY DOSS (BILLING SUPERVISOR)
(662) 323-9318
Entity
Organization
Contact information
Practice address
302 N JACKSON ST, STARKVILLE, MS 39759-2504
(662) 323-9318
(362) 324-5553
Mailing address
220 N JACKSON ST, STARKVILLE, MS 39759
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2586367
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/25/2006
Last updated
12/30/2019
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