| NPI | 1588491823 |
|---|---|
| Doing Business As | MSU-MERIDIAN MENTAL AND BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JEREMY CLAY Director Of Contract Administration 662-325-8131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |