| NPI | 1003053034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY SMALLWOOD CEO/Owner 601-264-0890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MS 22268) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MS 22268) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |