| NPI | 1598943631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE KING Provider Enrollment 601-351-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MS 31-345) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |