Organization
REGION 8 MH MR COMMISSION BRIDGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE A OTTING (DIRECTOR OF OPERATIONS)
(601) 824-0342
Entity
Organization
Contact information
Practice address
613 MARQUETTE RD, BRANDON, MS 39042-3038
(601) 824-0342
(601) 824-0349
Mailing address
PO BOX 88, BRANDON, MS 39043-0088
(601) 824-0342
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/13/2012
Last updated
06/27/2022
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