| NPI | 1265829584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D DAMON Chief Executive Officer 601-352-7784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |