| NPI | 1710438577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVON LOGGINS Chief Operations Officer 601-853-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MS 112580905) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |