Warren Yazoo Mental Health Service, Inc.

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NPI Provider: 1023002920
Contact Name: Roark Steve
Position: Executive Director
Phone: (601) 638-0031

Warren Yazoo Mental Health Service, Inc. Information:

Warren Yazoo Mental Health Service, Inc. organization have npi 1023002920, taxonomy code is 261QM0801X with license number is R15-1 in . This Business address located in 3444 Wisconsin Ave, Vicksburg, MS 39180 Mississippi.

Practice Location
Address: 3444 Wisconsin Ave, Vicksburg, MS 39180
Phone: (601) 638-0031

Business Location
Address: 3444 Wisconsin Ave, Vicksburg, MS 39180
Phone: (601) 638-0031
Fax: (601) 634-0234

Taxonomy

Taxonomy Code: 261QM0801X

License Number: R15-1

License Number of State: MS

Primary Taxonomy Switch: Y

Enumeration Date: 9/7/2005

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