Organization Name: | REGION VII MH MR COMMISSION |
NPI Number: | 1114043924 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHY A DOSS (ACCTS REC SUPERVISOR) |
Mailing Address: | 302 Chester St Ackerman |
State: | MS US |
Postal Code: | 397359164 |
Phone Number: | 6622856225 |
Fax Number: | 6622856226 |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |