| NPI | 1215990734 |
|---|---|
| Former Legal Business Name | WIREGRASS MENTAL HEALTH BOARD, INC. |
| Entity Type | Organization |
| Authorized Contact | MELISSA KIRKLAND Executive Director 334-712-2720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2012-11-28 |