| NPI | 1265746150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS W LANCASTER Owner 662-542-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MS C5892) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |