Organization
REGION IV MENTAL HEALTH SERVICES--TUPELO CRISIS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLIE D SPEARMAN SR. (EXECUTIVE DIRECTOR)
(662) 286-9883
Entity
Organization
Contact information
Practice address
1927A BRIAR RIDGE RD, TUPELO, MS 38804-5963
(662) 680-6250
(662) 680-4350
Mailing address
PO BOX 839, CORINTH, MS 38835-0839
(662) 286-9883
(662) 286-9836
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018204
—
MS
Enumeration date
12/14/2011
Last updated
12/14/2011
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