Region Ten State Of Ms
Clinic/Center, Adolescent and Children Mental Health in Meridian, MS. Organization (NPI-2).
NPI number1366093791
StatusActive
Last updated in NPPESSep 26, 2019
Details
- NPI
- 1366093791
- Entity type
- Organization (NPI-2)
- Legal business name
- Region Ten State Of Ms
- Organization subpart
- Yes
- Enumeration date
- Sep 26, 2019
- Last updated
- Sep 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | Yes |
Other names
- Region 10 Mypac (Doing Business As)
Practice location
832 Highway 19 N Ste 510Meridian, MS 39307-5876
Phone 601-483-4821 · Fax 601-485-8727
Mailing address
Weems Cmhc1415 College Drive
Meridian, MS 39307
Phone 601-483-4821 · Fax 601-485-8727
Authorized official
Lori Walton
Cfo
6014834821
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