NPI | 1023002920 |
---|---|
Former Legal Business Name | WARREN YAZOO MENTAL HEALTH SERVICE, INC |
Entity Type | Organization |
Authorized Contact | RICK VESSELL Chief Financial Officer 601-638-0031 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MS R15-1) |
Enumeration Date | 2005-09-07 |
Last Update Date | 2017-02-06 |