| NPI | 1417599747 |
|---|---|
| Doing Business As | MID SOUTH RECOVERY |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH M COLE Director/Coowner 731-215-1135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |