| NPI | 1982980850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLIE D SPEARMAN Execuitive Director 662-286-9883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |