NPI | 1275784746 |
---|---|
Doing Business As | MID SOUTH HEALTH SYSTEMS, INC. |
Entity Type | Organization |
Authorized Contact | DONNIE LYERLY Provider Cedentialing 870-972-4939 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2008-10-02 |
Last Update Date | 2022-04-22 |