# CARE CLINIC FOR DRUG ADDICTION & MENTAL HEALTH IN NORTH MISSISSIPPI

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

## Provider details

- **NPI number:** 1659041663
- **Authorized official:** DR. CEDRIC EDWARDS M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (662) 934-8671

## Contact information

- **Practice address:** 8829 CENTRE ST STE 200, SOUTHAVEN, MS 38671-2610
- **Practice address phone:** (662) 934-8671
- **Mailing address:** 222 SOUTHLAKES DR, GRENADA, MS 38901-8499
- **Mailing address phone:** (662) 934-8671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/20/2021
- **Last updated:** 08/31/2022