| NPI | 1053624585 |
|---|---|
| Doing Business As | MIDTOWN MH-RESIDENTIAL |
| Entity Type | Organization |
| Authorized Contact | BRENDA HARRELL Chief Financial Officer 229-671-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |