Organization
WARREN-YAZOO MENTAL HEALTH SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGIE MORGAN (RISK MGMT)
(601) 802-1011
Entity
Organization
Contact information
Practice address
3444 WISCONSIN AVE, VICKSBURG, MS 39180-5331
(601) 638-0031
Mailing address
3444 WISCONSIN AVE, VICKSBURG, MS 39180-5331
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770336
—
MS
Enumeration date
02/27/2009
Last updated
02/27/2009
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