| NPI | 1083160782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRA RENAE SUMLIN-BROWN Psychiatric Nurse Practitioner 601-480-6232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MS R886070) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |