Organization
DELTA COMMUNITY MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILBERT MACVAUGH PSY (EXECUTIVE DIRECTOR)
(662) 335-5274
Entity
Organization
Contact information
Practice address
113A S DAVIS AVE, CLEVELAND, MS 38732-3447
(662) 843-9445
(662) 843-9447
Mailing address
113A S DAVIS AVE, CLEVELAND, MS 38732-3447
(662) 843-9445
(662) 843-9447
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
16335
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018205
—
MS
Enumeration date
03/23/2007
Last updated
08/22/2020
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