Provider First Line Business Practice Location Address:
3444 WISCONSIN AVE
Provider Second Line Business Practice Location Address:
WARREN-YAZOO MENTAL HEALTH SERVICE
Provider Business Practice Location Address City Name:
VICKSBURG
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39180-2067
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
601-638-0031
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/13/2008