PROVIDENCE BEHAVIORAL HEALTH SERVICES

HATTIESBURG, MS
NPI1801340799
Other NameBLACKSTONE
Entity TypeOrganization
Authorized ContactNIKKI KWONA WRIGHT
Director
678-834-7615
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2016-08-08
Last Update Date2016-08-08
Business Address
PROVIDENCE BEHAVIORAL HEALTH SERVICES
5266 OLD HIGHWAY 11 STE 50
HATTIESBURG, MS 39402-7818
Phone number: 678-834-7615
Mailing Address
PROVIDENCE BEHAVIORAL HEALTH SERVICES
5737 OLD NATIONAL HWY STE 300
ATLANTA, GA 30349-3865
Phone number: 678-834-7615
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