| NPI | 1568671337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E. LOWERY Managing Officer 601-991-3080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MS DCS TOBHR PHA OP 01) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |