| NPI | 1407872773 |
|---|---|
| Doing Business As | S.E. LACKEY MEMORIAL HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | JOSEPH S MCNULTY President 601-849-4112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: MS 13033) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-12-19 |