| NPI | 1558586792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LELON ARON President 601-957-7343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MS 05950) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MS 05950) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2012-05-17 |