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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