THREE OAKS BEHAVIORAL HEALTH OF RIDGELAND LLC NPI 1932251683

NPI Information

THREE OAKS BEHAVIORAL HEALTH OF RIDGELAND, LLC is a psychiatric hospital in Ridgeland, MS. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. THREE OAKS BEHAVIORAL HEALTH OF RIDGELAND, LLC NPI is 1932251683. The provider is registered as an organization entity type.

The provider's business location address is:

408 FONTAINE PL
SUITE 101
RIDGELAND, MS
ZIP 39157-145
Phone: (601) 991-3080
Fax: (601) 991-0923

The provider's authorized official is James E. Lowery .
The authorized official title is Managing Officer and has the following contact phone number (601) 991-3080.

The CLIA number assigned to this NPI record is 25D2037474 - other - php & iop - psychiatric with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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