| NPI | 1518206440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEBA L BORDEN Executive Director 601-948-6220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MS FS17BADA-OP/P01) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |