Organization
REGION IV ELDERLY OUTPATIENT PSYCHOSOCIAL
Active
Parent organization
REGION IV MENTAL HEALTH SERVICES
Other names
REGION IV MENTAL HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGION IV MENTAL HEALTH SERVICES
Authorized official
MR. CHARLIE D SPEARMAN SR. (EXECUTIVE DIRECTOR)
(662) 286-9883
Entity
Organization
Contact information
Practice address
529 E WALNUT ST, RIPLEY, MS 38663-2258
(662) 837-8122
(662) 837-9462
Mailing address
PO BOX 839, CORINTH, MS 38835-0839
(662) 286-9883
(662) 284-9836
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018204
—
MS
Enumeration date
06/19/2014
Last updated
06/19/2014
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