| 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 |