Region 12 Commission On Mental Health & Retardation Pine Belt Men Valid NPI
Organization · Mental Health Clinic/Center (Including Community Mental Health Center) · Hattiesburg, MS
- NPI
- 1982610572
- Type
- Organization (Type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) (Clinic/Center)
- Specialty group
- Ambulatory Health Care Facilities
- Taxonomy code
- 261QM0801X
- License number
- R12-1 (MS)
- Enumerated
- 2006-08-01
- Last updated
- 2015-09-16
Practice location
103 S 19th Ave
Hattiesburg, MS 39401-6171
(601) 544-4641