Organization
EAST MISSISSIPPI STATE HOSPITAL
Active
Parent organization
EAST MISSISSIPPI STATE HOSPITAL
Other names
EMSH Community Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST MISSISSIPPI STATE HOSPITAL
Authorized official
MRS. DONNA CREEKMORE (ASSISTANT PROGRAM DIRECTOR/BUSINESS)
(601) 581-7919
Entity
Organization
Contact information
Practice address
701 NORTHSIDE DR, NEWTON, MS 39345-2361
(601) 683-4200
Mailing address
1818 COLLEGE DR, MERIDIAN, MS 39307-5721
(601) 581-7880
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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