Organization
REGION IV MENTAL HEALTH SERVICES LIGHT HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLIE SPEARMAN SR. (EXECUTIVE DIRECTOR)
(662) 286-9883
Entity
Organization
Contact information
Practice address
2105 PROPER ST, CORINTH, CORINTH, MS 38834-5247
(662) 286-7084
(662) 287-2070
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
09/06/2013
Last updated
09/06/2013
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