Organization
REGION IV ELDERLY OUTPATIENT PSYCHOSOCIAL DESOTO
Active
Parent organization
REGION IV MENTAL HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGION IV MENTAL HEALTH SERVICES
Authorized official
MR. CHARLIE D SPEARMAN SR. (EXECUTIVE DIRECTOR)
(662) 287-9883
Entity
Organization
Contact information
Practice address
915 FERNCLIFF CV, SUITE 1A, SOUTHAVEN, MS 38671-2420
(662) 449-1971
(662) 449-1974
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
06/26/2014
Last updated
06/26/2014
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