| NPI | 1922262708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE J FERGUSON Facility Director 601-683-4201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MS DMH-CMRC (A)) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-11 |