| NPI | 1093149411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY STANLEY Psyc Residency Edu. Coordinator 601-815-1362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |