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“Adolescent And Children Mental Health Clinic/center” (Southaven, MS)

Location: Southaven, MS
Taxonomy: Adolescent And Children Mental Health Clinic/center.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1013141357 — IDEAL PROVIDER, LLC
Practice Location Address:
8869 CENTRE ST # 3
SOUTHAVEN MS
38671-1725
Practice Phone: 662-342-7023

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