| NPI | 1386042471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE B JOHNSON Chief Executive Officer 662-329-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |