| NPI | 1699366542 |
|---|---|
| Doing Business As | PINE GROVE BEHAVIORAL HEALTH |
| Doing Business As | PMGROUP |
| Entity Type | Organization |
| Authorized Contact | JACOB PARKER Registerd Nurse 601-329-1321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 347D00000X Train | |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2024-05-06 |