Organization
COMMUNITY MENTAL HEALTH CLINIC, LLC
Active
Organization
COMMUNITY MENTAL HEALTH CLINIC, LLC
Active
Other names
Community Mental Health Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA JATON MCGOWAN NP (OWNER)
(601) 665-7983
Entity
Organization
Contact information
Practice address
200 SAINT PAUL ST, PEARL, MS 39208-5134
(601) 665-7983
Mailing address
1393 OLD PEARSON RD, FLORENCE, MS 39073-9468
(601) 665-7983
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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