NPI 1710730924

East Mississippi State Hospital

Organisation Mental Illness Community Based Residential Treatment Facility Newton, MS

Practice location

Address: 701 Northside Dr, Newton, MS 39345-2361
Phone: (601) 683-4200
Mailing address: 1818 College Dr, Meridian, MS 39307-5721

Authorised official

Name: Donna Creekmore
Title: Assistant Program Director/Business
Phone: (601) 581-7919

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

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

Registry record

NPI: 1710730924
Entity type: Organization
NPI issued: 8 Apr 2024
Record last updated: 8 Apr 2024

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.