| NPI | 1760610109 |
|---|---|
| Doing Business As | JOLIMAR RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JEFF RAYBORN President 601-276-9556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MS FS36BAEAPR/TR-OP-O1) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-06-24 |