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 |