Organization
VICKSBURG COMMUNITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ASHLEY DANIELLE JOHNSON (DIRECTOR)
(601) 218-5927
Entity
Organization
Contact information
Practice address
2845 CLAY ST, VICKSBURG, MS 39183-3141
(601) 218-5927
Mailing address
PO BOX 821634, VICKSBURG, MS 39182-1634
(601) 218-5927
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MS
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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