REGION IV ELDERLY OUTPATIENT PSYCHOSOCIAL DESOTO

SOUTHAVEN, MS
NPI1659786887
Entity TypeOrganization
Authorized ContactCHARLIE D SPEARMAN
Executive Director
662-287-9883
Organization Subpart ?Yes
Primary Taxonomy251S00000X 
Enumeration Date2014-06-26
Last Update Date2014-06-26
Business Address
REGION IV ELDERLY OUTPATIENT PSYCHOSOCIAL DESOTO
915 FERNCLIFF CV SUITE 1A
SOUTHAVEN, MS 38671-2420
Phone number: 662-449-1971
Mailing Address
REGION IV ELDERLY OUTPATIENT PSYCHOSOCIAL DESOTO
PO BOX 839
CORINTH, MS 38835-0839
Phone number: 662-286-9883
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