| NPI | 1114432739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP LAWING Owner 228-596-2449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251B00000X Case Management |
| 261Q00000X Clinic/Center | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2020-11-11 |