NPI 1063145787
Open Minds Community Improvement Center
Practice location
- Address
- 1003 Merrydale Dr, Picayune, MS 39466-5422
- Phone
- (228) 731-5156
Authorised official
- Name
- Ashiyah Polk
- Title
- Co-Founder
- Phone
- (228) 731-5156
Registered specialties (2)
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
Community/Behavioral Health Agency
Registry record
- NPI
- 1063145787
- Entity type
- Organization
- NPI issued
- 9 Jul 2022
- Record last updated
- 9 Jul 2022
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.