| Warren- Yazoo Mental Health Service | |
|
3444 Wisconsin Ave Vicksburg MS 39180-5331 | |
| (601) 638-0031 | |
| (601) 638-1778 |
| Full Name | Warren- Yazoo Mental Health Service |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3444 Wisconsin Ave, Vicksburg, Mississippi |
| Authorized Official Name and Position | Birchel Bernard Washington (HUMAN RESOURCES DIRECTOR) |
| Authorized Official Contact | 6016380031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Warren- Yazoo Mental Health Service 3444 Wisconsin Ave Vicksburg MS 39180-5331 Ph: (601) 638-0031 | Warren- Yazoo Mental Health Service 3444 Wisconsin Ave Vicksburg MS 39180-5331 Ph: (601) 638-0031 |
| NPI Number | 1710316617 |
|---|---|
| Provider Enumeration Date | 11/01/2013 |
| Last Update Date | 06/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710316617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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