| NPI | 1689753485 |
|---|---|
| Doing Business As | TRACE REGIONAL HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | SHEILA BROCKMAN CEO 662-456-3700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273R00000X Psychiatric Unit |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2024-01-18 |