| NPI | 1649685561 |
|---|---|
| Doing Business As | MEMORIAL BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | MICHELLE E JOHNSON Office Manager 228-575-1970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C6816) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |