NPI 1578937199

Kattrina Roach

Organisation Community/Behavioral Health Agency Southaven, MS

Practice location

Address: 1622 Montys Cir, Southaven, MS 38672-8547
Phone: (662) 404-1134

Authorised official

Name: Kattrina Miller Roach
Title: Owner
Phone: (662) 404-1134

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 2041 (MS)

Other Community/Behavioral Health providers in Mississippi →

Registry record

NPI: 1578937199
Entity type: Organization
NPI issued: 19 Nov 2015
Record last updated: 19 Nov 2015

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.