| NPI | 1275837767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD H PUGH CEO 601-319-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MS 199) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |