| NPI | 1578583456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE G. MOORE Fiscal Services Director 662-326-8031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: MS 16-291) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2010-05-18 |