| Region Iv Mental Health Services--tupelo Crisis Center | |
|
1927a Briar Ridge Rd Tupelo MS 38804-5963 | |
| (662) 680-6250 | |
| (662) 680-4350 |
| Full Name | Region Iv Mental Health Services--tupelo Crisis Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1927a Briar Ridge Rd, Tupelo, Mississippi |
| Authorized Official Name and Position | Charlie D Spearman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6622869883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Region Iv Mental Health Services--tupelo Crisis Center Po Box 839 Corinth MS 38835-0839 Ph: (662) 286-9883 | Region Iv Mental Health Services--tupelo Crisis Center 1927a Briar Ridge Rd Tupelo MS 38804-5963 Ph: (662) 680-6250 |
| NPI Number | 1831468248 |
|---|---|
| Provider Enumeration Date | 12/14/2011 |
| Last Update Date | 12/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831468248 | NPI | - | NPPES |
| 00018204 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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