Organization
CARE CLINIC FOR DRUG ADDICTION & MENTAL HEALTH IN NORTH MISSISSIPPI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CEDRIC EDWARDS M.D. (MEDICAL DIRECTOR)
(662) 934-8671
Entity
Organization
Contact information
Practice address
8829 CENTRE ST STE 200, SOUTHAVEN, MS 38671-2610
(662) 934-8671
Mailing address
222 SOUTHLAKES DR, GRENADA, MS 38901-8499
(662) 934-8671
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/20/2021
Last updated
08/31/2022
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