| NPI | 1164948196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY L FARRAR Executive/Clinical Director 662-321-2329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |