| NPI | 1336118207 |
|---|---|
| Doing Business As | MID SOUTH SYSTEMS |
| Entity Type | Organization |
| Authorized Contact | STEPHEN JOHNSON Assistant Executive Director 870-972-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2022-04-22 |