| NPI | 1114054301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL A CALLENS Facility Director 662-690-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MS 31328) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2011-03-11 |