Organization
REGION ONE MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN B CORLEY (EXECUTIVE DIRECTOR)
(662) 627-7267
Entity
Organization
Contact information
Practice address
1742 CHERYL ST, CLARKSDALE, MS 38614-7218
(662) 627-7267
(662) 627-5240
Mailing address
PO BOX 1046, CLARKSDALE, MS 38614-1046
(662) 627-7267
(662) 627-5240
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
MDMH CERTIFIED
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018201
—
MS
Enumeration date
07/16/2006
Last updated
07/25/2017
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