NPI | 1104235951 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD L YEATES President/CEO 662-328-3110 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MS 1835) |
Enumeration Date | 2014-08-06 |
Last Update Date | 2014-08-07 |