NPI 1659404572

Diamond Grove Center

Organisation Psychiatric Residential Treatment Facility Louisville, MS

Practice location

Address: 2311 Highway 15 S, Louisville, MS 39339-7071
Phone: (662) 779-0119
Fax: (662) 779-0126

Authorised official

Name: Steve Filton
Title: Srvp Cfo
Phone: (610) 768-3300

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 817 (MS)

Other Psychiatric Residential Treatment Facility providers in Mississippi →

Registry record

NPI: 1659404572
Entity type: Organization
NPI issued: 13 Mar 2007
Record last updated: 11 May 2011

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.