| NPI | 1467646034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MCCORMACK Executive Director 601-859-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MS 1009) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2008-07-22 |