Organization
MS STATE HOSPITAL CRISIS INTERVENTION CENTER-BROOKHAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE KING (PROVIDER ENROLLMENT)
(601) 351-8000
Entity
Organization
Contact information
Practice address
725 BROOKMAN DR EXT, BROOKHAVEN, MS 39601-2311
(601) 351-8000
(601) 351-8586
Mailing address
725 BROOKMAN DR EXT, BROOKHAVEN, MS 39601-2311
(601) 351-8000
(601) 351-8586
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
31-345
MS
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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