Organization
REGION TEN COMMISSION STATE OF MS
Active
Other names
Weems Community Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL ANDREACCHIO MS (EXECUTIVE DIRECTOR)
(601) 483-4821
Entity
Organization
Contact information
Practice address
1415 COLLEGE DRIVE, MERIDIAN, MS 39307-5345
(601) 483-4821
(601) 485-8727
Mailing address
P.O. BOX 2868, MERIDIAN, MS 39302-2801
(601) 483-4821
(601) 485-8727
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
R10-1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018210
—
MS
Enumeration date
08/17/2006
Last updated
10/04/2024
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