| NPI | 1639382690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CHERNEY CEO 601-352-7784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: MS 112580840) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |