| NPI | 1609268267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRICK DENARD BAILEY Licensed Professional Counselor 662-907-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: MS 1512) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |