Provider First Line Business Practice Location Address:
REGION III MENTAL HEALTH CENTER
Provider Second Line Business Practice Location Address:
2434 SOUTH EASON BLVD
Provider Business Practice Location Address City Name:
TUPELO
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
38804-6942
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-844-1717
Provider Business Practice Location Address Fax Number:
662-680-6416
Provider Enumeration Date:
09/28/2006