| NPI | 1851407829 |
|---|---|
| Former Legal Business Name | SINGING RIVER MENTAL HEALTH MENTAL RETARDATION SERVICES |
| Entity Type | Organization |
| Authorized Contact | SHERMAN F BLACKWELL Executive Director 228-497-0690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2010-05-10 |