Organization
REGION IV MENTAL HEALTH SERVICES BEACON HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLIE SPEARMAN SR. (EXECUTIVE DIRECTOR)
(662) 728-2185
Entity
Organization
Contact information
Practice address
2040 PAUL EDMONDSON DRIVE, IUKA, MS 38852
(662) 423-3622
(662) 423-3331
Mailing address
PO BOX 839, CORINTH, MS 38835-0839
(662) 286-9883
(662) 284-9836
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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