| NPI | 1861645657 |
|---|---|
| Doing Business As | PINE BELT MENTAL HEALTHCARE RESOURCES |
| Entity Type | Organization |
| Authorized Contact | JERRY MAYO CEO 601-544-4641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 07864/5.1) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2017-02-16 |