Organization
NORTH MS REGIONAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLE B HANEY (DIRECTOR)
(662) 234-1476
Entity
Organization
Contact information
Practice address
967 REGIONAL CENTER DR, OXFORD, MS 38655-3551
(662) 234-1476
(662) 234-1699
Mailing address
967 REGIONAL CENTER DR, OXFORD, MS 38655-3551
(662) 234-1476
(662) 234-1699
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
263
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04380504
—
MS
Enumeration date
10/11/2006
Last updated
08/22/2020
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