| Parkwood Pavilion At Grenada | |
|
960 Avent Dr Grenada MS 38901-5230 | |
| (662) 227-7000 | |
| (662) 227-7534 |
| Full Name | Parkwood Pavilion At Grenada |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 960 Avent Dr, Grenada, Mississippi |
| Authorized Official Name and Position | Charles L Denton (CEO) |
| Authorized Official Contact | 6622277000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkwood Pavilion At Grenada 960 Avent Dr Grenada MS 38901 Ph: (662) 227-7000 | Parkwood Pavilion At Grenada 960 Avent Dr Grenada MS 38901-5230 Ph: (662) 227-7000 |
| NPI Number | 1215165642 |
|---|---|
| Provider Enumeration Date | 06/24/2009 |
| Last Update Date | 07/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215165642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 11-245 (Mississippi) | Primary |
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