Organization
WEST MISSISSIPPI BEHAVIORAL SERVICE, LLC
Active
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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