| NPI | 1104159151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEDA JEAN DILLON Business Office Director 601-384-5801 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: MS 11175) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-25 |