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Organization

DELTA COMMUNITY MENTAL HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LARRY E EVANS MA (THERAPIST)
(662) 335-5274
Entity
Organization

Contact information

Practice address
1654 E UNION ST, GREENVILLE, MS 38703-3250
(662) 335-5274
(662) 378-3976
Mailing address
1654 E UNION ST, GREENVILLE, MS 38703-3250
(662) 335-5274
(662) 378-3976

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
01/02/2008
Last updated
01/02/2008
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