| Cognitive Development Center Of Mississippi | |
|
1713 Clay St Vicksburg MS 39183-3048 | |
| (601) 883-1771 | |
| (601) 883-1773 |
| Full Name | Cognitive Development Center Of Mississippi |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1713 Clay St, Vicksburg, Mississippi |
| Authorized Official Name and Position | Adrian J Fisher (DIRECTOR) |
| Authorized Official Contact | 3183401535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Development Center Of Mississippi 1713 Clay St Vicksburg MS 39183-3048 Ph: (601) 883-1771 | Cognitive Development Center Of Mississippi 1713 Clay St Vicksburg MS 39183-3048 Ph: (601) 883-1771 |
| NPI Number | 1265873350 |
|---|---|
| Provider Enumeration Date | 07/17/2013 |
| Last Update Date | 11/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265873350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Warren Yazoo Mental Health Service Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 Fax: 601-634-0234 | |
The Peace Place Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Holly St, Vicksburg, MS 39180 Phone: 601-630-3362 Fax: 855-540-0718 | |
Divine Home Care Changes Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Ethel Dr, Vicksburg, MS 39180 Phone: 919-339-1854 | |
Nulife Healthcare, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Holt Collier Dr Ste C, Vicksburg, MS 39183 Phone: 601-738-5565 Fax: 601-738-5544 | |
Gateway Health Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2705 Clay St, Vicksburg, MS 39183 Phone: 601-661-9752 Fax: 601-661-6021 | |
Nulife Health Care Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 120 Holt Collier Dr Ste C, Vicksburg, MS 39183 Phone: 601-738-5565 Fax: 601-738-5544 |