| NPI | 1225342173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A. CARLISLE Facility Director 601-581-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MS 31-136) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2020-10-14 |