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MISSISSIPPI STATE HOSPITAL AT WHITFIELD, Residential Treatment Facilities / 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.

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MISSISSIPPI STATE HOSPITAL AT WHITFIELD

NPI Number 1477648236
State Identifier(s) Mississippi Medicaid #00220338
Group Name MISSISSIPPI STATE HOSPITAL AT WHITFIELD
Doing business as OAK CIRCLE CENTER ROOM AND BOARD
Credentials - Lic #:31-320 (Mississippi)
Mailing Address Confidential
Business Address 3550 HIGHWAY 468 WEST
FISCAL SERVICE
WHITFIELD, MS 39193-0157

Phone (601) 351-8000 Fax (601) 351-8301
Name JAMES G CHASTAIN - (DIRECTOR)
Primary Specialty Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children
Additional Specialties
Last Modified 03/21/2012
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