# UTILIZATION MANAGEMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457535056
- **Authorized official:** CHERRY ROBERTS RN,CCM,CPUR,CNLCP (DIRECTOR, MANAGED CARE)
- **Authorized official phone:** (601) 605-2023

## Contact information

- **Practice address:** 576 HIGHLAND COLONY PKWY, SUITE 300, RIDGELAND, MS 39157-8769
- **Practice address phone:** (601) 605-2023
- **Mailing address:** PO BOX 1859, RIDGELAND, MS 39158-1859
- **Mailing address phone:** (601) 605-2023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 9923719 | MS | Yes |

## Other

- **Enumeration date:** 12/19/2007
- **Last updated:** 12/19/2007