Whalio Doctors

NPI 1598943631

Ms State Hospital Crisis Intervention Center-Brookhaven

Organisation Psychiatric Hospital Brookhaven, MS

Practice location

Address
725 Brookman Dr Ext, Brookhaven, MS 39601-2311
Phone
(601) 351-8000
Fax
(601) 351-8586

Authorised official

Name
Jacqueline King
Title
Provider Enrollment
Phone
(601) 351-8000

Registered specialties

Psychiatric Hospital Primary
Hospitals Taxonomy 283Q00000X Licence 31-345 (MS)

Registry record

NPI
1598943631
Entity type
Organization
NPI issued
31 Jan 2008
Record last updated
31 Jan 2008

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.