NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

MISSISSIPPI STATE HOSPITAL AT WHITFIELD – #1477648236
dba OAK CIRCLE CENTER ROOM AND BOARD
Residential Treatment Facility, Emotionally Disturbed Children

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.


Contact Information

MISSISSIPPI STATE HOSPITAL AT WHITFIELD
dba OAK CIRCLE CENTER ROOM AND BOARD
3550 HIGHWAY 468 WEST
FISCAL SERVICE
WHITFIELD, MS39193-0157
 Phone: 601-351-8000
 Fax: 601-351-8301
 Website:
 

Specialty

Taxonomy

Residential Treatment Facility, Emotionally Disturbed Children

322D00000X
Indicates primary specialty
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NPI Information

NPI Number 1477648236
Entity Organization
Organization subpart Y
Enumeration date 10/04/2006
Last updated 03/21/2012
Identifiers
MS License # 31-320
MS Medicaid 00220338

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