Organization
PARKWOOD BEHAVIORAL HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SR VP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
8135 GOODMAN RD, OLIVE BRANCH, MS 38654-2103
(662) 895-4900
Mailing address
8135 GOODMAN RD, OLIVE BRANCH, MS 38654-2103
(662) 895-4900
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
711585
MS
Other
Enumeration date
04/08/2009
Last updated
09/02/2010
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