| NPI | 1295777829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE MILLER BRYANT Social Worker 228-523-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: VA 0904004044) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |