NPI 1588091458

Region IV Mental Health Services

Organisation Mental Illness Community Based Residential Treatment Facility Batesville, MS

Practice location

Address: 120 Randy Hendrix Dr, Batesville, MS 38606-7664
Phone: (662) 563-9176

Authorised official

Name: Vicki Lynn Watson
Title: Nurse
Phone: (662) 563-9176

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence R745718 (MS)

Other Community Based Residential Treatment Facility, Mental Illness providers in Mississippi →

Registry record

NPI: 1588091458
Entity type: Organization
NPI issued: 8 Oct 2013
Record last updated: 8 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.