NPI 1801340799

Providence Behavioral Health Services

Organisation Community/Behavioral Health Agency Hattiesburg, MS

Practice location

Address: 5266 Old Highway 11 STE 50, Hattiesburg, MS 39402-7818
Phone: (678) 834-7615
Mailing address: 5737 Old National Hwy STE 300, Atlanta, GA 30349-3865

Authorised official

Name: Nikki Kwona Wright
Title: Director
Phone: (678) 834-7615

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Mississippi →

Registry record

NPI: 1801340799
Entity type: Organization
NPI issued: 8 Aug 2016
Record last updated: 8 Aug 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.