Region 12 Commission On Mental Health And Retardation in Hattiesburg - Substance Abuse Rehabilitation Facility
Region 12 Commission On Mental Health And Retardation - NPI 1982612206
Region 12 Commission On Mental Health And Retardation is a Substance Abuse Rehabilitation Facility in Hattiesburg, Mississippi. Region 12 Commission On Mental Health And Retardation practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Region 12 Commission On Mental Health And Retardation is 1982612206. The last update date is 2020-08-22.
Region 12 Commission On Mental Health And Retardation's current location address is Po Box 1030, Hattiesburg, Mississippi. You can contact this provider via phone number 6015447499 and fax number 6015844053. The mailing address for Region 12 Commission On Mental Health And Retardation is Po Box 1030, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Region 12 Commission On Mental Health And Retardation |
|---|---|
| Address | Po Box 1030, Hattiesburg, Mississippi |
| Phone Number | 6015447499 |
| Fax Number | 6015844053 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Mays Janet |
| Telephone Number | 6015444641 |
NPI Number Detail
| NPI Number | 1982612206 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 1030 |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394031030 |
| Phone Number | 6015447499 |
| Fax Number | 6015844053 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | R12-DADA-PR- |
|
Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18212 | MS | -- | |
| 20463 | MS | BC/BS PROVIDER NUMBER |
Post Comment/ Review Below
What is the Region 12 Commission On Mental Health And Retardation's 1982612206?
The Region 12 Commission On Mental Health And Retardation's NPI (National Provider Identifier) Number is 1982612206. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Region 12 Commission On Mental Health And Retardation is geographically located?
The Region 12 Commission On Mental Health And Retardation is physically situated at the following location: Po Box 1030, Hattiesburg, MS, 394031030.
What is Region 12 Commission On Mental Health And Retardation's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Region 12 Commission On Mental Health And Retardation's specialized field of practice is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy code that categorizes this area of specialization is 324500000X.
On what date did the Region 12 Commission On Mental Health And Retardation receive its 1982612206 assignment from the Centers for Medicare & Medicaid Services?
The Region 12 Commission On Mental Health And Retardation was assigned its 1982612206 by the Centers for Medicare & Medicaid Services on 2006-08-03.
When was the information pertaining to Region 12 Commission On Mental Health And Retardation most recently updated or revised?
The details related to Region 12 Commission On Mental Health And Retardation, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY