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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