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Organization

MENTAL HEALTH ASSOCIATION OF SOUTH MISSISSIPPI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KAY MARIE DANEAULT (EXECUTIVE DIRECTOR)
(228) 864-6274
Entity
Organization

Contact information

Practice address
4803 HARRISON CIR, GULFPORT, MS 39507-4402
(228) 864-6274
(228) 864-1310
Mailing address
4803 HARRISON CIR, GULFPORT, MS 39507-4402
(228) 864-6274
(228) 864-1310

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary

Other

Enumeration date
07/13/2012
Last updated
07/13/2012
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