| NPI | 1316360449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY MICHAEL GRAY Chief Financial Officer 601-940-0183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MS 320800000) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-30 |