| NPI | 1801116546 |
|---|---|
| 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 |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2022-04-25 |