| NPI | 1326069964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM L CLAYTON Psychiatrist/Acting Director 228-523-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MS 5595) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |