Organization
MS STATE HOSPITAL CRISIS INTERVENTION CENTER - CLEVENLAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES G. CHASTAIN (DIRECTOR)
(601) 351-8000
Entity
Organization
Contact information
Practice address
714 3RD ST, CLEVELAND, MS 38732-2312
(601) 351-8000
Mailing address
714 3RD ST, CLEVELAND, MS 38732-2312
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
31-337
MS
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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