| NPI | 1932213840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES T CANIZARO CFO 601-426-4504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: MS 11153) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2008-04-23 |