NPI 1790139087

The Cstone Group

Organisation Community/Behavioral Health Agency Hattiesburg, MS

Practice location

Address: 118 Pinehills Dr, Hattiesburg, MS 39402-3314
Phone: (601) 255-7200
Fax: (601) 255-7200
Mailing address: 118 Pinehills Dr, Hattiesburg, MS 39402

Authorised official

Name: Matthew Wade Wicht
Title: Owner
Phone: (601) 255-7200

Registered specialties (2)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 1035 (MS)

Other Community/Behavioral Health providers in Mississippi →

Case Management Agency

Agencies Taxonomy 251B00000X Licence 1035 (MS)

Other Case Management providers in Mississippi →

Registry record

NPI: 1790139087
Entity type: Organization
NPI issued: 22 Apr 2016
Record last updated: 22 Apr 2016

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.