| NPI | 1952047391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL P EDNEY Owner / LLC Member 601-831-2750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2022-05-09 |