NPI 1083041917

State of Mississippi-University of Mississippi Medical Center

Organisation Psychiatric Hospital Grenada, MS

Practice location

Address: 960 Avent Dr, Grenada, MS 38901-5230
Phone: (662) 227-7000
Mailing address: 2500 North State Street, Jackson, MS 39216

Authorised official

Name: Kevin Cook
Title: Ceo
Phone: (601) 984-4113

Registered specialties

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X

Other Psychiatric Hospital providers in Mississippi →

Registry record

NPI: 1083041917
Entity type: Organization
NPI issued: 10 Oct 2013
Record last updated: 10 Oct 2013

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.