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201 Baker Blvd Leland MS 38756-3401 | |
(662) 686-4121 | |
(662) 686-4770 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 201 Baker Blvd, Leland, Mississippi |
Authorized Official Name and Position | Henry Marlin Womack (VP OF ADMINISTRATION) |
Authorized Official Contact | 6626863916 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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201 Baker Blvd Leland MS 38756-3401 Ph: (662) 686-4121 | 201 Baker Blvd Leland MS 38756-3401 Ph: (662) 686-4121 |
NPI Number | 1164964565 |
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Provider Enumeration Date | 11/16/2016 |
Last Update Date | 05/18/2017 |
Identifier | Type | State | Issuer |
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1164964565 | NPI | - | NPPES |
09889724 | Medicaid | MS |
Cassada Psychiatric Clinic Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 304 S Deer Creek Dr W, Leland, MS 38756 Phone: 662-820-6899 |