| Southwest Development Corporation, Inc. | |
|
210 Gilchrist St. Fayette MS 39069-0160 | |
| (601) 786-3955 | |
| Not Available |
| Full Name | Southwest Development Corporation, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 210 Gilchrist St., Fayette, Mississippi |
| Authorized Official Name and Position | Mary T. Irving (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6017863955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Development Corporation, Inc. Post Office Box 160 210 Gilchrist St. Fayette MS 39069-0160 Ph: (601) 786-8299 | Southwest Development Corporation, Inc. 210 Gilchrist St. Fayette MS 39069-0160 Ph: (601) 786-3955 |
| NPI Number | 1972730984 |
|---|---|
| Provider Enumeration Date | 06/17/2009 |
| Last Update Date | 10/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972730984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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