Organization
BRAIN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J MCNEIL LCSW (CFO)
(601) 324-3109
Entity
Organization
Contact information
Practice address
608 DELAWARE AVENUE, MCCOMB, MISSISSIPPI, UNITED STATES, MCCOMB, MS 39648
(601) 324-3109
(601) 324-3105
Mailing address
608 DELAWARE AVE, MCCOMB, MS 39648-4025
(601) 324-3109
(601) 324-3105
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
11/15/2023
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