Organization
MISSISSIPPI STATE HOSPITAL
Active
Organization
MISSISSIPPI STATE HOSPITAL
Active
Other names
Mississippi State Hospital Chemical Dependency Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES G. CHASTAIN (DIRECTOR)
(601) 351-8000
Entity
Organization
Contact information
Practice address
3550 HIGHWAY 468 W, WHITFIELD, MS 39193-5529
(601) 351-8000
Mailing address
3550 HIGHWAY 468 W, WHITFIELD, MS 39193-5529
(601) 351-8000
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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