| NPI | 1003195967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE A HALL Director, Business Operations 601-939-5993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MS DCS-Psycamore-PHA-01) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MS DCS-Psycamore-PHA-01) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2016-12-22 |