Region 8 Mh Mr Commission Bridges | |
613 Marquette Rd Brandon MS 39042-3038 | |
(601) 824-0342 | |
(601) 824-0349 |
Full Name | Region 8 Mh Mr Commission Bridges |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 613 Marquette Rd, Brandon, Mississippi |
Authorized Official Name and Position | Steve A Otting (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 6018240342 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Region 8 Mh Mr Commission Bridges Po Box 88 Brandon MS 39043-0088 Ph: (601) 824-0342 | Region 8 Mh Mr Commission Bridges 613 Marquette Rd Brandon MS 39042-3038 Ph: (601) 824-0342 |
NPI Number | 1376816900 |
---|---|
Provider Enumeration Date | 02/13/2012 |
Last Update Date | 06/27/2022 |
Certification Date | 06/27/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376816900 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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