| NPI | 1568766905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA T SMITH President 601-316-4822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MS 06071213) |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2010-12-28 |