Graduated: 2000
NPI: 1871980995
Practice Locations (3)
REGION VI COMMUNITY MENTAL HEALTH COMMISSION
PO BOX
GREENWOOD, MS 389351505
URBAN REHAB, INC
5345 HWY 18 W
JACKSON, MS 392099421
6019270188101
WARREN YAZOO MENTAL HEALTH SERVICE
3444 WISCONSIN AVE
VICKSBURG, MS 391805331
Source: CMS National Downloadable File, September 2026.