Organization
SINGING RIVER SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERMAN F BLACKWELL II PHD (EXECUTIVE DIRECTOR)
(228) 497-0690
Entity
Organization
Contact information
Practice address
3407 SHAMROCK CT, GAUTIER, MS 39553-5337
(228) 497-0690
(228) 497-1363
Mailing address
3407 SHAMROCK CT, GAUTIER, MS 39553-5337
(228) 497-0690
(228) 497-1363
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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