| NPI | 1114291929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA B MAGEE Director 601-209-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |