OLIVE BRANCH PSYCHIATRIC SERVICES CORP

Agent

Name	Role	Address
Tomika Washington	Agent	6914 AUTUMN OAK DR SUITE-A, OLIVE BRANCH, MS 38654

Incorporator

Name	Role	Address
Tomika Washington	Incorporator	6914 AUTUMN OAK DR SUITE-A, OLIVE BRANCH, MS 38654

Chief Executive Officer

Name	Role	Address
Tomika Washington	Chief Executive Officer	6914 AUTUMN OAK DR SUITE-A, olive branch, MS 38654

National Provider Identifier

Authorized Person:

Taxonomy:

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Filings

Type	Status	Filed Date	Description
Admin Dissolution	Filed	2024-12-01	Action of Intent to Dissolve: AR: OLIVE BRANCH PSYCHIATRIC SERVICES CORP
Notice to Dissolve/Revoke	Filed	2024-09-01	Notice of Intent to Dissolve: AR: OLIVE BRANCH PSYCHIATRIC SERVICES CORP
Formation Form	Filed	2023-04-28	Formation For OLIVE BRANCH PSYCHIATRIC SERVICES CORP

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