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Organization

WEST MISSISSIPPI BEHAVIORAL SERVICE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL P EDNEY MD (OWNER / LLC MEMBER)
(601) 831-2750
Entity
Organization

Contact information

Practice address
3201 WISCONSIN AVE, VICKSBURG, MS 39180-5350
(601) 636-8006
Mailing address
3201 WISCONSIN AVE, VICKSBURG, MS 39180-5350
(601) 636-8006

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
05/09/2022
Last updated
05/09/2022
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