Organization
CENTRAL MISSISSIPPI RESIDENTIAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE J FERGUSON (FACILITY DIRECTOR)
(601) 683-4201
Entity
Organization
Contact information
Practice address
701 NORTHSIDE DRIVE, NEWTON, MS 39345-0470
(601) 683-4200
(601) 683-4204
Mailing address
701 NORTHSIDE DRIVE, NEWTON, MS 39345-0470
(601) 683-4200
(601) 683-4204
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
DMH-CMRC (A)
MS
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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