| NPI | 1023449329 |
|---|---|
| Doing Business As | CHARLENE D KING |
| Entity Type | Organization |
| Authorized Contact | CHARLENE D KING Owner 601-448-5176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS R8396684) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2016-03-01 |