| Region Vi Mental Health/mental Retardation Commission | |
|
2504 Browning Road Greenwood MS 38935-1505 | |
| (662) 453-6211 | |
| (662) 455-8724 |
| Full Name | Region Vi Mental Health/mental Retardation Commission |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2504 Browning Road, Greenwood, Mississippi |
| Authorized Official Name and Position | Madolyn Smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6624536211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Region Vi Mental Health/mental Retardation Commission Po Box 1505 Greenwood MS 38935-1505 Ph: (662) 453-6211 | Region Vi Mental Health/mental Retardation Commission 2504 Browning Road Greenwood MS 38935-1505 Ph: (662) 453-6211 |
| NPI Number | 1932437209 |
|---|---|
| Provider Enumeration Date | 11/25/2009 |
| Last Update Date | 11/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932437209 | NPI | - | NPPES |
| 00770409 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Mississippi) | Primary |
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Region Vi Mental Health/mental Retardation Commission Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2504 Browning Road 520, Greenwood, MS 38930 Phone: 662-453-6211 Fax: 662-455-8724 | |
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