| NPI | 1972608347 |
|---|---|
| Doing Business As | BEHAVIORAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | GERALD WAGES COO 662-377-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2015-03-17 |