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9 North Second Street Bay Springs MS 39422 | |
(601) 764-2201 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Adult Mental Health |
Location | 9 North Second Street, Bay Springs, Mississippi |
Authorized Official Name and Position | Maurice Kahlmus (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6014834821 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9 North Second Street Bay Springs MS 39422 Ph: (601) 764-2201 | 9 North Second Street Bay Springs MS 39422 Ph: (601) 764-2201 |
NPI Number | 1689930372 |
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Provider Enumeration Date | 04/06/2012 |
Last Update Date | 04/06/2012 |
Identifier | Type | State | Issuer |
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1689930372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |