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Organization
DELTA COMMUNITY MENTAL HEALTH SERVICES
Active
Organization
DELTA COMMUNITY MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOTTIE CALLOWAY (BILLING/IT DIRECTOR)
(662) 822-2219
Entity
Organization
Contact information
Practice address
1654 E UNION ST, GREENVILLE, MS 38703-3250
(662) 347-5183
Mailing address
1654 E UNION ST, GREENVILLE, MS 38703-3250
(662) 347-5183
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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