Organization
REGION ONE MENTAL HEALTH CENTER
Active
Other names
Region One Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DALYNDA L GASTON (BILLING CLERK)
(662) 627-7267
Entity
Organization
Contact information
Practice address
1742 CHERYL ST, CLARKSDALE, MS 38614-7218
(662) 627-7267
(662) 627-5240
Mailing address
PO BOX 1046, CLARKSDALE, MS 38614-1046
(662) 627-7267
(662) 627-5240
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018201
—
MS
Enumeration date
01/05/2021
Last updated
01/05/2021
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