| NPI | 1710366273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D DAMON Chief Executive Officer 601-352-7784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |