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303 Medical Center Dr Batesville MS 38606-8608 | |
(662) 563-5611 | |
(662) 712-1483 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 303 Medical Center Dr, Batesville, Mississippi |
Authorized Official Name and Position | Michael Havens (CEO) |
Authorized Official Contact | 6625635611 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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303 Medical Center Dr Batesville MS 38606-8608 Ph: (662) 563-5611 | 303 Medical Center Dr Batesville MS 38606-8608 Ph: (662) 563-5611 |
NPI Number | 1902101041 |
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Provider Enumeration Date | 01/21/2011 |
Last Update Date | 01/21/2011 |
Identifier | Type | State | Issuer |
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1902101041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 13287 (Mississippi) | Primary |
Region Iv Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Randy Hendrix Dr, Batesville, MS 38606 Phone: 662-563-9176 Fax: 662-563-7384 | |