| NPI | 1770803090 |
|---|---|
| Doing Business As | MID-SOUTH HEALTH SYSTEMS |
| Entity Type | Organization |
| Authorized Contact | DONNIE J LYERLY Provider Credentialing 870-972-4939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2022-04-25 |