| NPI | 1053935940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA BARTON Executive Director 228-826-6522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-07-20 |