| NPI | 1134366867 |
|---|---|
| Doing Business As | LIGHTHOUSE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAMES G. CHASTAIN Director Of Hospital 601-351-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MS DCS-MSH) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |