Organization
REGION IV MENTAL HEALTH SERVICES-SUNNY ROAD OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLIE SPEARMAN SR. (EXECUTIVE DIRECTOR)
(662) 286-9883
Entity
Organization
Contact information
Practice address
8237 SWINNEA RD, SOUTHAVEN, MS 38671-4934
(662) 393-4789
(662) 393-4789
Mailing address
PO BOX 839, CORINTH, MS 38835-0839
(662) 286-9883
(662) 286-9836
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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