Organization
REGION IV MENTAL HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA KING (SCHOOL BASE THERAPIST)
(662) 449-1809
Entity
Organization
Contact information
Practice address
2725 HIGHWAY 51 S, HERNANDO, MS 38632-2634
(662) 449-1809
Mailing address
2725 HIGHWAY 51 S, HERNANDO, MS 38632-2634
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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