Diamond Grove Center in Louisville - Psychiatric Residential Treatment Facility
Diamond Grove Center - NPI 1659404572
Diamond Grove Center is a Psychiatric Residential Treatment Facility in Louisville, Mississippi. Diamond Grove Center practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for Diamond Grove Center is 1659404572. The last update date is 2011-05-11.
Diamond Grove Center's current location address is 2311 Highway 15 S, Louisville, Mississippi. You can contact this provider via phone number 6627790119 and fax number 6627790126. The mailing address for Diamond Grove Center is 2311 Highway 15 S, Louisville, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Diamond Grove Center |
|---|---|
| Address | 2311 Highway 15 S, Louisville, Mississippi |
| Phone Number | 6627790119 |
| Fax Number | 6627790126 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SRVP CFO |
|---|---|
| Authorized Official Name | Filton Steve |
| Telephone Number | 6107683300 |
NPI Number Detail
| NPI Number | 1659404572 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2011-05-11 |
Provider Mailing Address Detail
| Address | 2311 Highway 15 S |
|---|---|
| City | Louisville |
| State | Mississippi (MS) |
| Post Code | 393397071 |
| Phone Number | 6627790119 |
| Fax Number | 6627790126 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Residential Treatment Facility |
|---|---|
| Taxonomy | 323P00000X |
| Licence No | 817 |
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Definition: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 220801 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Diamond Grove Center by the Centers for Medicare & Medicaid Services?
The Diamond Grove Center has been assigned the NPI (National Provider Identifier) 1659404572 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Diamond Grove Center?
The Diamond Grove Center is physically situated at 2311 Highway 15 S, in the city of Louisville, state of MS, with the postal code 393397071.
What is Diamond Grove Center's area of expertise and its corresponding taxonomy classification?
The Diamond Grove Center's field of specialization is Psychiatric Residential Treatment Facility, and it falls under the taxonomy code 323P00000X, which categorizes healthcare providers based on their areas of practice.
When was the Diamond Grove Center's 1659404572 issued?
The Diamond Grove Center's 1659404572 was issued on 2007-03-13.
As of what date were the details related to Diamond Grove Center most recently updated or revised?
The information pertaining to Diamond Grove Center, including its address, specialty, and other relevant details, was last updated or revised on 2011-05-11.