| NPI | 1922127331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERALD STACY HUGHES, JR. CEO 601-829-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MS FS39-DADA-OP-01) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-10-30 |