NPI 1003218058

Southaven Services

Organisation Community/Behavioral Health Agency Southaven, MS

Practice location

Address: 1326 Goodman Rd E, Southaven, MS 38671-9542
Phone: (662) 536-3132
Mailing address: PO Box 839, Corinth, MS 38835-0839

Authorised official

Name: Charlie D Spearman
Title: Executive Director
Phone: (662) 287-9883

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Mississippi →

Registry record

NPI: 1003218058
Entity type: Organization
NPI issued: 22 Sep 2014
Record last updated: 22 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.