NPI 1154756385

Region IV Mental Health Services-Sunny Road Office

Organisation Community/Behavioral Health Agency Southaven, MS

Practice location

Address: 8237 Swinnea Rd, Southaven, MS 38671-4934
Phone: (662) 393-4789
Fax: (662) 393-4789
Mailing address: PO Box 839, Corinth, MS 38835-0839

Authorised official

Name: Charlie Spearman
Title: Executive Director
Phone: (662) 286-9883

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Mississippi →

Registry record

NPI: 1154756385
Entity type: Organization
NPI issued: 6 Sep 2013
Record last updated: 6 Sep 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.