Organization
MS STATE HOSPITAL CRISIS INTERVENTION CENTER - GRENADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES G. CHASTAIN (DIRECTOR)
(601) 351-8000
Entity
Organization
Contact information
Practice address
1970 GRANDVIEW DR, GRENADA, MS 38901-5066
(601) 351-8000
Mailing address
1970 GRANDVIEW DR, GRENADA, MS 38901-5066
(601) 351-8000
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
31-341
MS
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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