Organization
MADISON RANKIN SIMPSON MENTAL HEALTH
Active
Other names
Region 8 Mental Health Mental Retardation Commission
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE VAN (EXECUTIVE DIRECTOR)
(601) 824-0342
Entity
Organization
Contact information
Practice address
613 MARQUETTE ROAD, BRANDON, MS 39042
(601) 824-0342
(601) 824-0349
Mailing address
PO BOX 88, BRANDON, MS 39043
(601) 824-0342
(601) 824-0349
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
R081
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018208
—
MS
Enumeration date
08/01/2006
Last updated
06/27/2022
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