Organization
REGION TEN STATE OF MS
Active
Parent organization
REGION TEN STATE OF MS
Other names
Region 10 MYPAC
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGION TEN STATE OF MS
Authorized official
LORI WALTON (CFO)
(601) 483-4821
Entity
Organization
Contact information
Practice address
832 HIGHWAY 19 N STE 510, MERIDIAN, MS 39307-5876
(601) 483-4821
(601) 485-8727
Mailing address
WEEMS CMHC, 1415 COLLEGE DRIVE, MERIDIAN, MS 39307
(601) 483-4821
(601) 485-8727
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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