| NPI | 1033455852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALANNA JILLIAN WRIGHT Nurse Practitioner 601-665-7256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MS R854233) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: MS R854233) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2014-06-26 |