| NPI | 1003295437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN D CATHEY Counselor 662-202-2160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MS 1361) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |