Organization
DELTA COMMUNITY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUG ALLEN COLE (INTERIM DIRECTOR)
(662) 335-5274
Entity
Organization
Contact information
Practice address
1654 E UNION ST, GREENVILLE, MS 38703-3250
(662) 335-5274
(662) 378-3976
Mailing address
1654 E UNION ST, GREENVILLE, MS 38703-3250
(662) 335-5274
(662) 378-3976
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
16335
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018205
—
MS
Enumeration date
08/25/2006
Last updated
09/08/2009
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