| NPI | 1427249705 |
|---|---|
| Doing Business As | TRI LAKES MEDICAL CENTER MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | VINCE BRUMMETT COO 662-563-5611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MS 13-287) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2008-08-12 |