NPI | 1710123740 |
---|---|
Doing Business As | MID-SOUTH HEALTH SYSTEMS, INC. |
Entity Type | Organization |
Authorized Contact | DONNIE LYERLY Provider Credentialing 870-972-4939 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2008-12-22 |
Last Update Date | 2022-04-25 |