| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 500 C C Rd, Belzoni, Mississippi |
| Authorized Official Name and Position | Elston C Kemp (CEO) |
| Authorized Official Contact | 6628400196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
500 C C Rd Belzoni MS 39038-3806 Ph: (662) 247-3831 | 500 C C Rd Belzoni MS 39038-3806 Ph: (662) 247-3831 |
| NPI Number | 1366576902 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366576902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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