| NPI | 1093268799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARETHA HARGROVE-EDWARDS Sole Mbr 662-347-7229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MS 1221) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2019-01-14 |