| NPI | 1326299736 |
|---|---|
| Other Name | MID-SOUTH HEALTH SYSTEMS, INC. |
| Entity Type | Organization |
| Authorized Contact | DONNIE J LYERLY Provider Credentialing 870-972-4939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2022-04-22 |