| NPI | 1770033425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE FILTON EVP Chief Financial Officer 601-382-3319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA DRUG12459) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2020-02-20 |