| Warren-yazoo Mental Health Service, Inc. | |
|
3444 Wisconsin Ave Vicksburg MS 39180-5331 | |
| (601) 638-0031 | |
| Not Available |
| Full Name | Warren-yazoo Mental Health Service, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3444 Wisconsin Ave, Vicksburg, Mississippi |
| Authorized Official Name and Position | Margie Morgan (RISK MGMT) |
| Authorized Official Contact | 6018021011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Warren-yazoo Mental Health Service, Inc. 3444 Wisconsin Ave Vicksburg MS 39180-5331 Ph: () - | Warren-yazoo Mental Health Service, Inc. 3444 Wisconsin Ave Vicksburg MS 39180-5331 Ph: (601) 638-0031 |
| NPI Number | 1336389527 |
|---|---|
| Provider Enumeration Date | 02/27/2009 |
| Last Update Date | 02/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336389527 | NPI | - | NPPES |
| 00770336 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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